Organization
CUSTOM CARE PHARMACY
Active
Other names
Custom Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROSINSKI (PRESIDENT / PHARMACY MANAGER)
(570) 850-9988
Entity
Organization
Contact information
Practice address
57 S FRONT ST, MILTON, PA 17847-1110
(570) 246-5700
(570) 246-5705
Mailing address
57 S FRONT ST, MILTON, PA 17847-1110
(570) 246-5700
(570) 524-1386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482213
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132654
PK
—
Enumeration date
08/25/2011
Last updated
08/21/2015
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