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

Custom Rx Pharmacy

Organization Pharmacist · NPI 1023190774

Custom Rx Pharmacy is a Pharmacist in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

731 1/2 N La Brea Ave
Los Angeles, CA 90038-3338
Phone: (323) 937-7879
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 46817710 (CA)

Record details

NPI number1023190774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Imanoel — Pharmacist (President) · (323) 937-7879
NPI enumeratedOctober 20, 2006
Last updated in NPPESAugust 24, 2009
Mailing addressPo Box 48408, Los Angeles, CA 90048-0408

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