Custom Med Apothecary

LBN: Custom Med Apothecary
Custom Med Apothecary is an health care organization with primary practice located at 5510 Lafayette Rd Suite 260, Indianapolis IN 46254-1685. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Custom Med Apothecary can be contacted via phone (317) 803-3436, or through Jackson, Jeff via phone (317) 803-3436.

Contact Information

Primary practice address
5510 Lafayette Rd Suite 260 Indianapolis IN 46254-1685
Phone: (317) 803-3436
Fax: (317) 803-3437
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jeff R.PH.
Phone: (317) 803-3436

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60005496A Indiana

Profile Details

NPI number 1497963540
LBN Legal business name Custom Med Apothecary
DBA Doing business as
Authorized official Jackson, Jeff R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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