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General NPI Number Information
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NPI Number | 1104407121
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Entity Type | Organization
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Legal Business Name | MIDWEST PHARMACY PARTNERS LLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 10330 N MERIDIAN ST STE 110
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City | CARMEL
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State | IN
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Zip | 46290-1024
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Country | US
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Telephone | 844-886-1800
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Fax | 866-981-0648
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Provider Business Mailing Address
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Address Line | PO BOX 3504
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City | CARMEL
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State | IN
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Zip | 46082-3504
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Country | US
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Telephone | 844-886-1800
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Fax | 866-981-0648
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARRY JOHN HART
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Credential | R.PH
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Telephone | 317-213-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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