NPI | 1760552871 |
---|---|
Doing Business As | CUSTOM DOSING PHARMACY PC |
Entity Type | Organization |
Authorized Contact | JEFF STEVEN BARTON President 219-226-9019 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005445A) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |