NPI

Custom Compounding LLC

NPI 1376840785

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2011-02-21
Last updated
2011-02-21

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Specialties

Licenses

License CT
PCY1921

Location

Practice location
3 Maple St
City
Kent CT
Postal code
06757-1711
Phone
(866) 606-0440

Organization contact

Name
Peter Daprile
Title
Member
Phone
(866) 606-0440

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Kent, CT. 67 records in the public file.

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