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Active NPI 1407235013 Organization (Entity Type 2)

Cppltc Llc

Pharmacy - Long Term Care Pharmacy • West Lafayette, IN

About Cppltc Llc NPI 1407235013 Summary

Cppltc Llc is a verified healthcare organization specializing in Pharmacy - Long Term Care Pharmacy operating in West Lafayette, IN. Located at 482 W NAVAJO ST STE B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1407235013.

Administrative operations and authorized compliance are overseen by Matthew Hutera (Owner).

Facility Location & Contact Primary Location

Facility Address

482 W Navajo St Ste B

West Lafayette, IN 479061940

Telephone 7656074103

Fax 7656074109

Authorized Official Information

Authorized Contact Name

Matthew Hutera

Title / Role

Owner

Official Telephone

6542143762

Facility Classifications & Specialties

Pharmacy - Long Term Care Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336L0003X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events

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Organization / Clinic Name Updated October 20, 2020

Operating as CPPLTC LLC

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NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2016

Registered at 482 W NAVAJO ST STE B, WEST LAFAYETTE, IN 479061940 (Tel: 7656074103)

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Updated Business Mailing Address August 08, 2016

Registered at 482 W NAVAJO ST STE B, WEST LAFAYETTE, IN 479061940 (Tel: 7656074103)

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Organization / Clinic Name Updated August 08, 2016

Operating as CUSTOMPLUS LONG TERM CARE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Pharmacy

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Initial NPI Registration & Enumeration May 28, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1407235013

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 28, 2015

Last Update: October 20, 2020

Update or Correct Listing

Mailing Address

482 W Navajo St Ste B

West Lafayette, IN 479061940

Phone: 7656074103

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.