Organization · NPI-2

Galveston Broadway Drug LLC

Pharmacy, Community/Retail Pharmacy · Galveston, TX

NPI number1306511324
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1306511324
Entity type
Organization (NPI-2)
Legal business name
Galveston Broadway Drug LLC
Organization subpart
No
Enumeration date
Aug 11, 2021
Certification date
May 19, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Galveston Broadway Drug (Doing Business As)

Practice location

2027 Broadway Ave J
Galveston, TX 77550-4635

Phone 409-765-7701 · Fax 409-762-2545

Mailing address

2027 Broadway Ave J
Galveston, TX 77550-4635

Fax 409-762-2545

Authorized official

Nandan Kumar Shaw
Managing Member
4097657701

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