Organization · NPI-2

Broadway Drug Store INC

Pharmacy, Community/Retail Pharmacy · Galveston, TX

NPI number1932323342
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1932323342
Entity type
Organization (NPI-2)
Legal business name
Broadway Drug Store INC
Organization subpart
No
Enumeration date
Apr 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy01868TXYes

Practice location

2027 Broadway St
Galveston, TX 77550-4635

Phone 409-765-7701 · Fax 409-762-2545

Mailing address

2027 Broadway St
Galveston, TX 77550-4635

Phone 409-765-7701 · Fax 409-762-2545

Authorized official

Rita Williamson
Owner
4097657701

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