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

Customceutical Compounding, LLC

Organization Community/Retail Pharmacy · NPI 1861782856

Customceutical Compounding, LLC is a Community/Retail Pharmacy in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
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

4611 E Shea Blvd Bldg 3 Ste 180
Phoenix, AZ 85028
Phone: (480) 516-0272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence Y005317 (AZ)
Compounding Pharmacy Taxonomy 3336C0004X · Licence Y005317 (AZ)

Record details

NPI number1861782856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Burch — Partner · (480) 516-0272
NPI enumeratedApril 12, 2011
Last updated in NPPESAugust 29, 2018
Mailing address4611 E Shea Blvd, Bldg 3, Ste 180, Phoenix, AZ 85028-4254

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