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MIDWESTERN COMPOUNDING PHARMACY LLC

Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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Contact Information

MIDWESTERN COMPOUNDING PHARMACY LLC
203 N CHILLICOTHE STREET
PLAIN CITY, OH  43064
 Phone: 614-733-3784
 Fax: 614-721-7996
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Compounding Pharmacy

 3336C0004X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MIDWESTERN COMPOUNDING PHARMACY LLC

NPI # 1518146547
LBN Legal business name MIDWESTERN COMPOUNDING PHARMACY LLC
Authorized official LONNIE CRAFT - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/26/2007
Last updated 08/08/2025 - About 10 months ago
Identifiers
OH License # 021670150
OH Medicaid 2968829
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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