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Custompp Llc
Compounding Pharmacy in West Lafayette, Indiana
NPI 1396011888

Custompp Llc is a Compounding Pharmacy based in West Lafayette, IN and is specialized in Compounding Pharmacy. Custompp Llc practices in West Lafayette, IN. The NPI Number for Custompp Llc is 1396011888 and holds a License No. (Indiana).

The current practice location address for Custompp Llc is 482 W Navajo St Ste A, West Lafayette, IN and can be reached out via phone at 765-463-2600 and via fax at 765-463-2601.

Location: 482 W Navajo St Ste A, West Lafayette, IN, 47906-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396011888
Provider Name
Custompp Llc
Credential
Provider Entity Type
Organization
Address
482 W Navajo St Ste A, West Lafayette, IN, 47906-1940
Phone Number
765-463-2600
Fax Number
765-463-2601
Provider Enumeration Date
03/28/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2135170 01 PK
300033680 05 IN
institution
Provider Business Practice Location Address Details
Address
482 W Navajo St Ste A
City
West Lafayette
State
Indiana
Zip
47906-1940
Phone Number
765-463-2600
Fax Number
765-463-2601
person
Provider Business Mailing Address Details
Address
482 W Navajo St Ste A
City
West Lafayette
State
Indiana
Zip
47906-1940
Phone Number
765-463-2600
Fax Number
765-463-2601
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
60006301A (Indiana)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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