Organization
MIDWEST COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUHAMMAD FARHAT PHARM D. (PIC)
(313) 789-7665
Entity
Organization
Contact information
Practice address
25306 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 789-7665
Mailing address
25306 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 789-7665
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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