Organization
CUSTOM DOSING PHARMACY
Active
Other names
Custom Dosing Pharmacy PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF STEVEN BARTON RPH (PRESIDENT)
(219) 226-9019
Entity
Organization
Contact information
Practice address
1000 BREUCKMAN DR, CROWN POINT, IN 46307
(219) 226-9019
(219) 661-9057
Mailing address
1000 BREUCKMAN DR, CROWN POINT, IN 46307
(219) 226-9019
(219) 661-9057
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005445A
IN
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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