Custom Prescription Shoppe is not a DME supplier for medicare equipments and products.
Custom Prescription Shoppe is a Compounding Pharmacy in Augusta, Georgia. This pharmacy is owned and operated by Duramed Healthcare Inc. It is located at 1543 15 Street, Augusta and it's customer support contact number is 706-737-3955. The authorized person of Custom Prescription Shoppe is Eric Holgate who is President of the pharmacy and his contact number is 706-737-3955. Active license number of Custom Prescription Shoppe is PHRE007052 for Compounding Pharmacy in Georgia. Custom Prescription Shoppe is 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 professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Custom Prescription Shoppe type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Custom Prescription Shoppe
Type:
Compounding Pharmacy
Location:
1543 15 Street, Augusta, Georgia, 30901
Phone:
706-737-3955
Fax:
706-737-6323
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Eric Holgate
Position:
President
Contact Number:
706-737-3955
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053370932
NPI Enumeration Date:
21 Mar, 2006
NPI Last Update On:
30 Dec, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Prescription Shoppe are as mentioned below.
Specialization
License Number
State
Status
Compounding Pharmacy
PHRE007052
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000398461A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1543 15 Street, Augusta, Georgia
Zip:
30901
Phone Number:
706-737-3955
Fax Number:
706-737-6323
Patients can reach Custom Prescription Shoppe at 1543 15 Street, Augusta, Georgia or can call on customer care at 706-737-3955.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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