Custom Plus Pharmacy

LBN: Custom Plus Pharmacy Llc
Custom Plus Pharmacy is an health care organization with primary practice located at 482 W Navajo St Ste A , West Lafayette IN 47906-1940. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Custom Plus Pharmacy Llc can be contacted via phone (765) 463-2600, or through Rachwal, Benjamin via phone (765) 463-2600.

Contact Information

Primary practice address
482 W Navajo St Ste A West Lafayette IN 47906-1940
Phone: (765) 463-2600
Fax: (765) 463-2601
Website:
Map and Directions
Authorized official contact:
Name: Rachwal, Benjamin
Phone: (765) 463-2600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60006301A Indiana
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1477813970
LBN Legal business name Custom Plus Pharmacy Llc
DBA Doing business as Custom Plus Pharmacy
Authorized official Rachwal, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477813970 NPPES
Other 1563798 NCPDP PROVIDER IDENTIFICATION NUMBER

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