NPI | 1407069297 |
---|---|
Doing Business As | MIDWEST LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | CODY LOBEDA Owner 308-398-0538 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 2817) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-02-01 |