A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
GA license #PHRE007052taxonomy 3336C0004X
Identifiers
Type
Value
Notes
05 (GA)
000398461A
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Custom Prescription Shoppe
Type code 3recorded 2006-03-21
Practice context
Single-site organization. Only one practice location on file.
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