Organization
KUSTOM WELLNESS, INC
Active
Other names
Kustom Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY KIRKPATRICK (PRESIDENT)
(561) 469-1558
Entity
Organization
Contact information
Practice address
4550 DONALD ROSS RD STE 113, PALM BEACH GARDENS, FL 33418-5104
(561) 469-1558
Mailing address
4550 DONALD ROSS RD STE 113, PALM BEACH GARDENS, FL 33418-5104
(561) 469-1558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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