Organization
CUSTOM CARE PHARMACY LLC
Active
Other names
Custom Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMALITA LANDRY (PHARMACIST)
(832) 508-4799
Entity
Organization
Contact information
Practice address
20320 NORTHWEST FWY STE 300, JERSEY VILLAGE, TX 77065-5643
(832) 688-9666
(832) 604-7291
Mailing address
20320 NORTHWEST FWY STE 300, SUITE#300, JERSEY VILLAGE, TX 77065-5643
(832) 688-9666
(832) 604-7291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31300
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166614
PK
—
05
—
394653501
—
TX
01
—
7656600001
DME POS
—
Enumeration date
12/01/2016
Last updated
09/19/2025
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