OrganizationActive
Custom Pharmacy LLC
NPI 1942512330 · Compounding Pharmacy · Mesa, AZ
Provider details
- NPI number
- 1942512330
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Hardman, Mamager(480) 832-9008
- License
- Y005191 (AZ)
Specialties & taxonomies
Suppliers
Practice location
4320 E Brown Rd
Suite 106
Mesa, AZ 85205-4082
Phone: (480) 832-9008
Fax: (480) 832-9167
Approximate (ZIP-level) locationGet directions
Mailing address
4320 E Brown Rd
Mesa, AZ 85205-4082
Other names (DBA / former)
- Doing business as
- Custom Rx
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2010-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.