NPI | 1578096749 |
---|---|
Doing Business As | MIDWEST SPECIALTY PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | FEDJA TEMIM Director 312-690-4585 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054020297) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |