Delaware
Division of Professional Regulation
Custom Compounding Centers of America, Inc.
Controlled Substances - Pharmacy Csr
License number
PH-0008762
Date granted
06/25/2012
Date expires
10/30/2014
Class
Controlled Substances - Pharmacy Csr
Status
Lapsed
Address
Kingsport TN 37664
delawarelicensing.com
ID 20517851
LAST UPDATED 2026-03-12 13:39:39 UTC
LAST UPDATED 2026-03-12 13:39:39 UTC
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