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Custom Prescriptions of Lancaster, LLC — NPI 1487857207, Lancaster, PA | NPI Central

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NPI 1487857207

OrganizationActive

Custom Prescriptions of Lancaster, LLC

NPI 1487857207 · Compounding Pharmacy · Lancaster, PA

Provider details

NPI number: 1487857207
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Diane Boomsma, President(717) 393-0518
License: PP481682 (PA)

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense PP481682 (PA)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PP481682 (PA)
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Specialty Pharmacy3336S0011XLicense PP481682 (PA)
Suppliers

Practice location

902 N Duke St

Lancaster, PA 17602

Phone: (717) 393-0518

Fax: (717) 393-0519

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

902 N Duke St

Lancaster, PA 17602-1906

Registry dates

Enumerated: 2007-06-08
Last updated: 2021-02-02
Certified: 2021-02-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.