Organization
CUSTOM PHARMACY LLC
Active
Other names
custom rx
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN KAY HARDMAN (MAMAGER)
(480) 832-9008
Entity
Organization
Contact information
Practice address
4320 E BROWN RD, SUITE 106, MESA, AZ 85205-4082
(480) 832-9008
(480) 832-9167
Mailing address
4320 E BROWN RD, SUITE 106, MESA, AZ 85205-4082
(480) 832-9008
(480) 832-9167
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
Y005191
AZ
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
About Stedi
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