Midwest Medical Pharmacy

NPI 1114901014 - Pharmacy - 3336C0004X

NPI Details
NPI 1114901014
Enumeration Date 12/04/2005
Last Updated 04/23/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TOM TOM
Position PHARMACIST OWNER
Phone (310) 657-1635
Fax (310) 657-5455
Practice Location
8733 BEVERLY BLVD
STE 100
WEST HOLLYWOOD CA, 90048-1890, US
Phone (310) 657-1635
Fax (310) 657-5455
Business Location
8733 BEVERLY BLVD
STE 100
WEST HOLLYWOOD CA, 90048-1890, US
Phone (310) 657-1635
Fax (310) 657-5455
Toxanomy
Taxonomy Code 3336C0004X
License State
License Number
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According to our database, Midwest Medical Pharmacy NPI is 1114901014, taxonomy code is 3336C0004X Midwest Medical Pharmacy physically located at 8733 Beverly Blvd, West Hollywood CA, 90048-1890. NPI Number 1033115704 has the healthcare provider type.

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1114901014 NPI number is provided on an as is basis without warranty of any kind. 1114901014 is maintained by the National Plan & Provider Enumeration System. The contents of Midwest Medical Pharmacy are for informational purposes only.