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Custom Compounding Llc

Custom Compounding Llc is a health care provider in Kent, CT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3 Maple St, Kent, CT 06757-1711, US
Practice Location Phone866-606-0440
Practice Location Fax
Legal Business NameCUSTOM COMPOUNDING LLC
NPI ?1376840785
Entity TypeOrganization
Enumeration Date ? Feb 21, 2011
Last Update Date ? Feb 21, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Custom Compounding Llc

SpecialtySpecializationLicenseLicense State
PharmacyCompounding Pharmacy PCY1921Connecticut

official-icon Authorized Official of Custom Compounding Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Custom Compounding Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Peter B Daprile (RPH, MBA)
Authorized Official Title/PositionMEMBER
Authorized Official Phone Number866-606-0440