Broadway Pharmacy Pa in Wichita - Pharmacy
Broadway Pharmacy Pa - NPI 1144321084
Broadway Pharmacy Pa is a Pharmacy in Wichita, Kansas. Broadway Pharmacy Pa practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Broadway Pharmacy Pa is 1144321084. The last update date is 2015-06-25.
Broadway Pharmacy Pa's current location address is 1610 S Broadway St, Wichita, Kansas. You can contact this provider via phone number 3162608880 and fax number 3162608881. The mailing address for Broadway Pharmacy Pa is 1610 S Broadway St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Pharmacy Pa |
|---|---|
| Address | 1610 S Broadway St, Wichita, Kansas |
| Phone Number | 3162608880 |
| Fax Number | 3162608881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bergen B David |
| Credentials | RPH |
| Telephone Number | 3162608880 |
NPI Number Detail
| NPI Number | 1144321084 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2015-06-25 |
Provider Mailing Address Detail
| Address | 1610 S Broadway St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672114119 |
| Phone Number | 3162608880 |
| Fax Number | 3162608881 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 209952 |
|
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 |
|---|---|---|---|
| 1718305 | KS | NCPDP | |
| 200268670A | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Broadway Pharmacy Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Broadway Pharmacy Pa has been assigned the NPI (National Provider Identifier) 1144321084. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Broadway Pharmacy Pa is physically located?
The Broadway Pharmacy Pa is physically situated at the following address: 1610 S Broadway St, Wichita, KS, 672114119.
What is Broadway Pharmacy Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Broadway Pharmacy Pa is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
When was the Broadway Pharmacy Pa's 1144321084 issued?
The Broadway Pharmacy Pa's 1144321084 was issued on 2006-09-25.
When was the information regarding Broadway Pharmacy Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Broadway Pharmacy Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-25.
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