Broadway Pharmacy Inc.

LBN: Broadway Pharmacy Inc.
Broadway Pharmacy Inc. is an health care organization with primary practice located at 101 Colorado Ave , Pueblo CO 81004-4213. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broadway Pharmacy Inc. can be contacted via phone (719) 545-0430, or through Yoxey, Eric via phone (719) 545-0430.

Contact Information

Primary practice address
101 Colorado Ave Pueblo CO 81004-4213
Phone: (719) 545-0430
Fax: (719) 562-8936
Website:
Map and Directions
Authorized official contact:
Name: Yoxey, Eric RPH
Phone: (719) 545-0430

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1040000005 Colorado

Profile Details

NPI number 1902945587
LBN Legal business name Broadway Pharmacy Inc.
DBA Doing business as
Authorized official Yoxey, Eric RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 11th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902945587 NPPES
Other 0605569 OTHER ID NUMBER
MEDICAID 03118007 OTHER ID NUMBER

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