Broadway Pharmacy LLC
Pharmacy in Baltimore, MD. Organization (NPI-2).
NPI number1821014358
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1821014358
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 13758 | MD | Yes |
Practice location
1645 E Baltimore StBaltimore, MD 21231-1510
Phone 410-563-2500 · Fax 410-732-8871
Mailing address
1645 E Baltimore StPo Box 88
Baltimore, MD 21231-1510
Phone 410-563-2500 · Fax 410-732-8871
Authorized official
Chukwuma G Okeke
Owner Pharmacist
4105632500
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