Broadway Inc. is a Pharmacist in Salt Lake City, Utah. Broadway Inc. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Broadway Inc. is 1124180526. The last update date is 2020-08-22.
Broadway Inc.'s current location address is 242 E Broadway, Salt Lake City, Utah. You can contact this provider via phone number 8013633939. The mailing address for Broadway Inc. is 242 E Broadway, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Broadway Inc. |
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Address | 242 E Broadway, Salt Lake City, Utah |
Phone Number | 8013633939 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Sotiriou Gus Christopher |
Credentials | PHARMD |
Telephone Number | 8013633939 |
NPI Number Detail
NPI Number | 1124180526 |
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Provider Enumeration Date | 2006-12-14 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 242 E Broadway |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841112419 |
Phone Number | 8013633939 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 1173051703 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identification code assigned to Broadway Inc. by the Centers for Medicare & Medicaid Services?
The Broadway Inc. has been issued the NPI (National Provider Identifier) 1124180526. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Broadway Inc. is physically located?
The Broadway Inc. is physically situated at the following address: 242 E Broadway, Salt Lake City, UT, 841112419.
What is Broadway Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Broadway Inc.'s specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Broadway Inc. receive its 1124180526 assignment from the Centers for Medicare & Medicaid Services?
The Broadway Inc. was assigned its 1124180526 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the Broadway Inc.'s details last updated?
The information pertaining to the Broadway Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.