Provider Demographics
NPI:1104407121
Name:MIDWEST PHARMACY PARTNERS LLC
Entity type:Organization
Organization Name:MIDWEST PHARMACY PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:317-213-5117
Mailing Address - Street 1:PO BOX 3504
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46082-3504
Mailing Address - Country:US
Mailing Address - Phone:844-886-1800
Mailing Address - Fax:866-981-0648
Practice Address - Street 1:10330 N MERIDIAN ST STE 110
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46290-1024
Practice Address - Country:US
Practice Address - Phone:844-886-1800
Practice Address - Fax:866-981-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy