Organization
CUSTOM PHARMACY SERVICES LLC
Active
Other names
Custom Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SEBASTIANELLI (PRESIDENT)
(888) 997-4276
Entity
Organization
Contact information
Practice address
517 MAIN ST, DURYEA, PA 18642-1323
(570) 213-5561
(888) 676-5833
Mailing address
517 MAIN ST, DURYEA, PA 18642-1323
(570) 213-5561
(888) 676-5833
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PP482248
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135415
PK
—
Enumeration date
03/22/2012
Last updated
05/29/2015
About Stedi
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