Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Care Pharmacy, LLC

Organization Pharmacy · NPI 1730510074

Custom Care Pharmacy, LLC is a Pharmacy in Clinton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

132 E Northside Dr Ste C
Clinton, MS 39056-3415
Phone: (601) 488-4360
Fax: (877) 747-5326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 07892/2.2 (MS)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1730510074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marco Moran — Pharmicist-In-Charge · (318) 791-3765
Other names Custom Care Pharmacy
NPI enumeratedDecember 12, 2013
Last updated in NPPESDecember 12, 2013
Mailing address132 E Northside Dr, Suite C, Clinton, MS 39056-3415

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