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 |