Custom Rx, Pc
Compounding Pharmacy
540 S 8th Ave Ste B, Broken Bow
Nebraska, 68822-2456
308-872-5602 308-872-2377
Custom Rx, Pc is a Compounding Pharmacy in Broken Bow, Nebraska. It is located at 540 S 8th Ave Ste B, Broken Bow and it's customer support contact number is 308-872-5602. The authorized person of Custom Rx, Pc is Dr. Mike D. Holcomb, PHARMD who is Pharmacist/owner of the pharmacy and his contact number is 308-872-5602. Active license number of Custom Rx, Pc is 2818 for Compounding Pharmacy in Nebraska.
Custom Rx, Pc 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 Rx, Pc 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 Rx, Pc |
| Type: | Compounding Pharmacy |
| Location: | 540 S 8th Ave Ste B, Broken Bow,
Nebraska, 68822-2456 |
| Phone: | 308-872-5602 |
| Fax: | 308-872-2377 |
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: | Dr. Mike D. Holcomb |
| Credentials: | PHARMD |
| Position: | Pharmacist/owner |
| Contact Number: | 308-872-5602 |
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: | 1790925725 |
| NPI Enumeration Date: | 03 Mar, 2009 |
| NPI Last Update On: | 03 Mar, 2009 |
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 Rx, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 2818 | Nebraska | 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 |
| 2816265 | Other | Nebraska | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 540 S 8th Ave Ste B,
Broken Bow, Nebraska |
| Zip: | 68822-2456 |
| Phone Number: | 308-872-5602 |
| Fax Number: | 308-872-2377 |
Patients can reach Custom Rx, Pc at
540 S 8th Ave Ste B, Broken Bow, Nebraska or can
call on customer care at 308-872-5602.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.