| NPI | 1902940604 |
|---|---|
| Doing Business As | MIDWEST IV AND HOMECARE |
| Entity Type | Organization |
| Authorized Contact | LARRY LINDBERG CEO 763-780-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MN 260897) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-10-17 |