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Custom Care Pharmacy, LLC

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Company Details

Name: Custom Care Pharmacy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 15 Feb 2008 (17 years ago)
Business ID: 927220
ZIP code: 39056
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 132 E Northside Dr, Suite CClinton, MS 39056

Agent

Name Role Address
Moran, Marco Agent 3349 Springridge Rd, Raymond, MS 39154

Manager

Name Role Address
Marco Moran Manager 3349 Springridge Rd, Raymond, MS 39154

National Provider Identifier

NPI Number:
1730510074

Authorized Person:

Name:
MARCO MORAN
Role:
PHARMICIST-IN-CHARGE
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8777475326

Filings

Type Status Filed Date Description
Reinstatement Filed 2025-04-01 Reinstatement For Custom Care Pharmacy, LLC
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-10-23 Annual Report For Custom Care Pharmacy, LLC
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-04-18 Annual Report For Custom Care Pharmacy, LLC
Annual Report LLC Filed 2015-11-10 Annual Report For Custom Care Pharmacy, LLC
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-11-24 Annual Report For Custom Care Pharmacy, LLC
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke

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Date of last update: 08 May 2025

Sources: Company Profile on Mississippi Secretary of State Website