Broadway Pharmacy
LBN: Knl Prescriptions Llc
Broadway Pharmacy is an health care organization with primary practice located at 710 Broadway St , Cape Girardeau MO 63701-5514. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Knl Prescriptions Llc can be contacted via phone (573) 335-8207, or through Wood, Kevin via phone (573) 335-8207.
Contact Information
Primary practice address
710 Broadway St
Cape Girardeau MO 63701-5514
Phone: (573) 335-8207
Fax: (573) 335-4904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2011012280 | Missouri |
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1265421663 |
|---|---|
| LBN Legal business name | Knl Prescriptions Llc |
| DBA Doing business as | Broadway Pharmacy |
| Authorized official | Wood, Kevin PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| 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 | 1265421663 | NPPES |
| Other | 2130422 | PK | |
| MEDICAID | 600200208 | PK |
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