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Organization

CUSTOM MED, LLC

Active
Other names
Custom Med Plus
Organization subpart
No

Provider details

NPI number
Authorized official
INAS DAHABRA (MANAGER)
(708) 289-6721
Entity
Organization

Contact information

Practice address
4312 N PULASKI, CHICAGO, IL 60641
(708) 289-6721
(779) 803-0170
Mailing address
4312 N PULASKI, CHICAGO, IL 60641
(708) 289-6721
(779) 803-0170

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
10/12/2015
Last updated
12/13/2024
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