Broadway Pharmacy Inc in Chicago - Pharmacy

Broadway Pharmacy Inc - NPI 1396888061

Broadway Pharmacy Inc is a Pharmacy in Chicago, Illinois. Broadway Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Broadway Pharmacy Inc is 1396888061. The last update date is 2014-05-14.

Broadway Pharmacy Inc's current location address is 4564 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7732719727 and fax number 7732718306. The mailing address for Broadway Pharmacy Inc is 4564 N Broadway St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Pharmacy Inc
Address 4564 N Broadway St, Chicago, Illinois
Phone Number 7732719727
Fax Number 7732718306
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Pandya Jayprakash
Telephone Number 7732719727

NPI Number Detail

NPI Number 1396888061
Provider Enumeration Date 2007-02-14
Last Updated Date 2014-05-14

Provider Mailing Address Detail

Address 4564 N Broadway St
City Chicago
State Illinois (IL)
Post Code 606405602
Phone Number 7732719727
Fax Number 7732718306

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2021693 PK

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FAQs about Broadway Pharmacy Inc

What is the unique 10-digit identifier code issued to Broadway Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Broadway Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1396888061 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Broadway Pharmacy Inc's facilities are situated?

The facilities of Broadway Pharmacy Inc are physically located at the following address: 4564 N Broadway St, Chicago, IL, 606405602.

What is the area of specialization for Broadway Pharmacy Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Broadway Pharmacy Inc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.

When did Broadway Pharmacy Inc receive its 1396888061 assignment?

The Broadway Pharmacy Inc was assigned its 1396888061 on 2007-02-14, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Broadway Pharmacy Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Broadway Pharmacy Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-14.

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