Organization · Type 2 NPI

Customized Medication, LLC

Clinic/Center · Elkhart, IN

NPI number 1497916548 Active

Practice location

541 Roske Dr Ste E
Elkhart, IN 46516-9323

Call (574) 522-1940 Map

Fax (574) 522-1990

Mailing address

58147 Diener Dr
Goshen, IN 46528-7723

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X60005663A (IN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1497916548

Customized Medication, LLC's National Provider Identifier is 1497916548, issued on Jun 21, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Elkhart, IN. The record was last updated on Apr 24, 2013.