NPI | 1083276240 |
---|---|
Doing Business As | MIDWEST COMPOUNDERS PHARMACY |
Entity Type | Organization |
Authorized Contact | PAUL CAIRNS President 573-270-0676 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |