Organization
CUSTOM PHARMACY SOLUTIONS
Active
Other names
CUSTOM PHARMACY SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DICKINSON PHARM.D. (PHARMACIST IN CHARGE)
(205) 988-3383
Entity
Organization
Contact information
Practice address
2637 VALLEYDALE RD, HOOVER, AL 35244-2075
(205) 988-3383
(202) 988-3553
Mailing address
2637 VALLEYDALE RD, HOOVER, AL 35244-2075
(205) 988-3383
(205) 988-3553
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112911
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996004
PK
—
Enumeration date
02/15/2007
Last updated
07/17/2015
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