CUSTOM FORMULARY INC Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054021334

License Status

ACTIVE

Business

Business Name

CUSTOM FORMULARY INC

Original Issue Date

09/10/2019

Effective Date

01/09/2024

Expiration Date

03/31/2026

City

DALLAS

State

Zip

75247

County

TEXAS

Ever Disciplined

LastModifiedDate

01/09/2024