MEDICARE: MIDWEST PHARMACY PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1104407121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST PHARMACY PARTNERS LLC

Provider Business Mailing Address
First Line	:	PO BOX 3504
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46082-3504
Country	:	US
Telephone Number	:	844-886-1800
Fax Number	:	866-981-0648

Provider Business Practice Location Address
First Line	:	10330 N MERIDIAN ST STE 110
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46290-1024
Country	:	US
Telephone Number	:	844-886-1800
Fax Number	:	866-981-0648

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARRY JOHN HART
Credential	:	R.PH
Telephone Number	:	317-213-5117

Provider Enumeration Date	:	04/20/2021
Last Update Date	:	04/20/2021

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Directions to “MIDWEST PHARMACY PARTNERS LLC ” Practice Location

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