Organization
CUSTOM DOSING EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CAUDILL (TECH/MANAGER)
(219) 487-1879
Entity
Organization
Contact information
Practice address
4319 FRANKLIN ST, MICHIGAN CITY, IN 46360-7806
(219) 221-6958
(219) 221-6947
Mailing address
4319 FRANKLIN ST, MICHIGAN CITY, IN 46360-7806
(219) 221-6958
(219) 221-6947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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