Broadway Clinic Pharmacy Inc

NPI 1043589062 - Pharmacy - 3336C0003X

NPI Details
NPI 1043589062
Enumeration Date 12/20/2011
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEVE STEVE
Position PRESIDENT
Phone (304) 393-3386
Fax (304) 393-3387
Practice Location
50 LINCOLN ST
KERMIT WV, 25674, US
Phone (304) 393-3386
Fax (304) 393-3387
Business Location
50 LINCOLN ST
KERMIT WV, 25674, US
Phone (304) 393-3386
Fax (304) 393-3387
Toxanomy
Taxonomy Code 3336C0003X
License State West Virginia
License Number MP0552396
Remove 1043589062 NPI Number
 

According to our database, Broadway Clinic Pharmacy Inc NPI is 1043589062, taxonomy code is 3336C0003X and license number is MP0552396, license state is located at West Virginia. Broadway Clinic Pharmacy Inc physically located at 50 Lincoln St, Kermit WV, 25674. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1043589062 NPI number is provided on an as is basis without warranty of any kind. 1043589062 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Clinic Pharmacy Inc are for informational purposes only.