Broadway Pharmacy
LBN: United Discount Drug Inc
Broadway Pharmacy is an health care organization with primary practice located at 601 E Broadway St , Altus OK 73521-5512. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
United Discount Drug Inc can be contacted via phone (580) 477-0800, or through Brooks, Terra via phone (580) 477-0800.
Contact Information
Primary practice address
601 E Broadway St
Altus OK 73521-5512
Phone: (580) 477-0800
Fax: (580) 477-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 176355 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1952483752 |
|---|---|
| LBN Legal business name | United Discount Drug Inc |
| DBA Doing business as | Broadway Pharmacy |
| Authorized official | Brooks, Terra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jan 17th, 2017 - about 7 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 | 1952483752 | NPPES |
| Oklahoma | MEDICAID | 100234180A | |
| Oklahoma | MEDICAID | 100234180B | |
| Oklahoma | Other | 2072623 |
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