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CUSTOM PHARMACY, INC
NPI 1609298777
Pharmacy - Community/Retail Pharmacy in Evans, GA

Active since January 09, 2014
1202 TOWN PARK LANE, SUITE 200, EVANS, GA 30809(706) 737-3955(706) 737-6323 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM PHARMACY, INC (NPI 1609298777) is a healthcare organization registered as a community/retail pharmacy in Evans, Georgia and active in the NPI registry since January 2014. The organization lists Eric Jamison Holgate, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1609298777
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM PHARMACY, INC
Location Address1202 TOWN PARK LANE, SUITE 200Evans, GA 30809
Mailing Address1543 15th StreetAugusta, GA 30901 · (706) 737-3955 · Fax (706) 373-6323
Phone(706) 737-3955
Fax(706) 737-6323
Organization SubpartNo
Authorized OfficialEric Jamison HolgatePharmacist · (706) 737-3955
Enumeration DateJanuary 9, 2014
✔ NPI 1609298777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1202 TOWN PARK LANE, Evans, GA 30809
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Pharmacy, Inc's NPI number?

The NPI number for Custom Pharmacy, Inc is 1609298777. It was assigned to this organization in the NPPES registry on January 9, 2014.

Where is Custom Pharmacy, Inc located?

Custom Pharmacy, Inc is located at 1202 Town Park Lane Suite 200, Evans, GA 30809. The listed phone number is (706) 737-3955.

What is Custom Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Custom Pharmacy, Inc was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.