Custompp Llc
LBN: Custompp Llc
Custompp Llc 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.
Custompp Llc can be contacted via phone (765) 463-2600, or through Hutera, Matthew 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:
Health care specialties
| Specialty | Code | License # | 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 | 1396011888 |
|---|---|
| LBN Legal business name | Custompp Llc |
| DBA Doing business as | |
| Authorized official | Hutera, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2012 |
| Last updated | May 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396011888 | NPPES |
| Other | 2135170 | PK | |
| MEDICAID | 300033680 | PK |
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