| NPI | 1043421910 |
|---|---|
| Doing Business As | MIDWEST COMPOUNDERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TROY S DELONG Owner, PIC 913-498-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-10093) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-05-08 |