{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIDWEST PHARMACY PARTNERS LLC",
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "PO BOX 3504",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46082-3504",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "844-886-1800",
"MailingAddressFaxNumber": "866-981-0648",
"FirstLinePracticeLocationAddress": "10330 N MERIDIAN ST STE 110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARMEL",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46290-1024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "844-886-1800",
"PracticeLocationAddressFaxNumber": "866-981-0648",
"EnumerationDate": "04/20/2021",
"LastUpdateDate": "04/20/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HART",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "R.PH",
"AuthorizedOfficialTelephoneNumber": "317-213-5117",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}