| NPI | 1750895090 |
|---|---|
| Doing Business As | MIDWAY PHAMACY |
| Other Name | MIDWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TREVOR RAY Secretary/Owner 270-212-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07865) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-04-19 |