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NPI 1497963540

OrganizationActive

Custom Med Apothecary

NPI 1497963540 · Community/Retail Pharmacy · Indianapolis, IN

Provider details

NPI number: 1497963540
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Jeff Jackson, Member
License: 60005496A (IN)

Practice location

5510 Lafayette Rd

Suite 260

Indianapolis, IN 46254-1685

Phone: (317) 803-3436

Fax: (317) 803-3437

More IN providers

Mailing address

5510 Lafayette Rd

Indianapolis, IN 46254-1685

Registry dates

Enumerated: 2007-05-21
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Custom Med Apothecary — NPI 1497963540, Indianapolis, IN | NPI Central