Organization
MIDWEST COMPOUNDERS, INC
Active
Other names
Midwest Compounders Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY S DELONG PHARMD (OWNER, PIC)
(913) 498-2121
Entity
Organization
Contact information
Practice address
13330 SANTA FE TRAIL DRIVE, LENEXA, KS 66215
(913) 498-2121
(913) 498-2785
Mailing address
13330 SANTA FE TRAIL DRIVE, LENEXA, KS 66215
(913) 498-2121
(913) 498-2785
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2-10093
KS
Other
Enumeration date
05/24/2007
Last updated
05/08/2012
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