| NPI | 1386363877 |
|---|---|
| Doing Business As | MIDWEST LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CODY LOBEDA President/Owner 308-398-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |