Organization · Type 2 NPI
Custom Med, LLC
Long Term Care Pharmacy · Chicago, IL
NPI number
1235781840
Active
Practice location
4312 N. Pulaski
Chicago, IL 60641
Fax (779) 803-0170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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About NPI 1235781840
Custom Med, LLC's National Provider Identifier is 1235781840, issued on Jul 13, 2019. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Chicago, IL. The record was last updated on Feb 8, 2023.