| NPI | 1477813970 |
|---|---|
| Doing Business As | CUSTOM PLUS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN RACHWAL Owner 765-463-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006301A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |