| NPI | 1609201730 |
|---|---|
| Doing Business As | CM SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFF JACKSON Owner/Pharmacist 317-803-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: IN 60006341A) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2016-08-05 |