OrganizationActive
American Custom Compounding Pharmacy
NPI 1114266889 · Compounding Pharmacy · Dallas, TX
Provider details
- NPI number
- 1114266889
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matt Gundelfinger, Owner(214) 366-0022
- License
- 27976 (TX)
Specialties & taxonomies
Suppliers
Practice location
2607 Walnut Hill Ln
Suite 220
Dallas, TX 75229-5638
Phone: (214) 366-0022
Fax: (214) 366-0298
Approximate (ZIP-level) locationGet directions
Mailing address
2607 Walnut Hill Ln
Dallas, TX 75229-5638
Registry dates
- Enumerated
- 2013-01-31
- Last updated
- 2013-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.