Custom Med Apothecary Valid NPI
Organization · Community/Retail Pharmacy · Indianapolis, IN
- NPI
- 1497963540
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 60005496A (IN)
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Practice location
5510 Lafayette Rd, Suite 260
Indianapolis, IN 46254-1685
(317) 803-3436