Broadway Medical Pharmacy in Anaheim - Pharmacist
Broadway Medical Pharmacy - NPI 1154461085
Broadway Medical Pharmacy is a Pharmacist in Anaheim, California. Broadway Medical Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Broadway Medical Pharmacy is 1154461085. The last update date is 2020-08-22.
Broadway Medical Pharmacy's current location address is 1673 W. Broadway Suit #1, Anaheim, California. You can contact this provider via phone number 7147723630 and fax number 7147723631. The mailing address for Broadway Medical Pharmacy is 1673 W. Broadway Suit #1, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Broadway Medical Pharmacy |
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Address | 1673 W. Broadway Suit #1, Anaheim, California |
Phone Number | 7147723630 |
Fax Number | 7147723631 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECT OWN |
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Authorized Official Name | Le Phi Van |
Credentials | RPH41632 |
Telephone Number | 7147723630 |
NPI Number Detail
NPI Number | 1154461085 |
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Provider Enumeration Date | 2007-02-08 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1673 W. Broadway Suit #1 |
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City | Anaheim |
State | California (CA) |
Post Code | 92802 |
Phone Number | 7147723630 |
Fax Number | 7147723631 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | PHY40768 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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PHA407680 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Broadway Medical Pharmacy by the Centers for Medicare & Medicaid Services?
The Broadway Medical Pharmacy has been issued the NPI (National Provider Identifier) 1154461085 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Broadway Medical Pharmacy's facilities are geographically located?
The facilities of Broadway Medical Pharmacy are physically situated at the following location: 1673 W. Broadway Suit #1, Anaheim, CA, 92802.
What is Broadway Medical Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Broadway Medical Pharmacy is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154461085 to Broadway Medical Pharmacy?
The Centers for Medicare & Medicaid Services originally issued the 1154461085 to Broadway Medical Pharmacy on 2007-02-08.
When was the information pertaining to Broadway Medical Pharmacy most recently updated or revised?
The details related to Broadway Medical Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.