Broadway Pharmacy Llc
LBN: Broadway Pharmacy Llc
Broadway Pharmacy Llc is an health care organization with primary practice located at 3334 Broadway Blvd Ste 412 , Garland TX 75043-1575. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Broadway Pharmacy Llc can be contacted via phone (972) 278-9742, or through Nchekwube, Abigail via phone (972) 278-9742.
Contact Information
Primary practice address
3334 Broadway Blvd Ste 412
Garland TX 75043-1575
Phone: (972) 278-9742
Fax: (972) 278-9743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 27932 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1710251772 |
|---|---|
| LBN Legal business name | Broadway Pharmacy Llc |
| DBA Doing business as | Broadway Pharmacy Llc |
| Authorized official | Nchekwube, Abigail PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2012 |
| Last updated | Jul 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710251772 | NPPES |
| Other | 2134141 | PK | |
| MEDICAID | 146557 | PK |
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