Custompp LLC
NPI #1396011888 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1396011888
- Entity Type
- Organization
- Organization Name
- Custompp LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 28, 2012
- Last Updated
- May 25, 2022
Practice Location
- Address
- 482 W NAVAJO ST STE A
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1940
- Phone
- (765) 463-2600
Authorized Official
- Name
- MATTHEW HUTERA
- Title
- OWNER
- Phone
- (765) 463-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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