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1497916548
CUSTOMIZED MEDICATION, LLC
ELKHART, IN
NPI
1497916548
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Entity Type
Organization
Authorized Contact
RICHARD SARGENT
Owner
574-522-1940
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IN 60005663A)
Enumeration Date
2008-06-21
Last Update Date
2013-04-24
Business Address
CUSTOMIZED MEDICATION, LLC
541 ROSKE DR STE E
ELKHART, IN 46516-9323
Phone number: 574-522-1940
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Mailing Address
CUSTOMIZED MEDICATION, LLC
58147 DIENER DR
GOSHEN, IN 46528-7723
Phone number: 574-522-1940
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