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General NPI Number Information
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NPI Number | 1629448022
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Entity Type | Organization
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Legal Business Name | MIDWEST BIOLOGICS, INC.
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 6323 W 110TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1509
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Country | US
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Telephone | 913-851-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 6323 W 110TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1509
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Country | US
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Telephone | 913-851-0755
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, TREASURER, SECRETARY
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Name | ROBERT S CAPPA
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Credential |
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Telephone | 484-494-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 213197
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 213197
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 213197
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License Number State | KS
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