Custom Med INC.
Pharmacy, Compounding Pharmacy in Novi, MI. Organization (NPI-2).
NPI number1851005722
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1851005722
- Entity type
- Organization (NPI-2)
- Legal business name
- Custom Med INC.
- Organization subpart
- No
- Enumeration date
- Jan 5, 2023
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | Yes |
Practice location
23965 Novi Rd Ste 100Novi, MI 48375-3232
Phone 317-340-1245
Mailing address
23965 Novi Rd Ste 100Novi, MI 48375-3232
Phone 317-340-1245
Authorized official
Nadera Abu Mahfoud
Pharmacist In Charge
3175234310
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