Broad St Pharmacy in Philadelphia - Pharmacy
Broad St Pharmacy - NPI 1376769869
Broad St Pharmacy is a Pharmacy in Philadelphia, Pennsylvania. Broad St Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Broad St Pharmacy is 1376769869. The last update date is 2007-08-21.
Broad St Pharmacy's current location address is 1412 S Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157552010 and fax number 2159401266. The mailing address for Broad St Pharmacy is 1412 S Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broad St Pharmacy |
|---|---|
| Address | 1412 S Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157552010 |
| Fax Number | 2159401266 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER RPH |
|---|---|
| Authorized Official Name | White J Morris |
| Credentials | RPH |
| Telephone Number | 2157552010 |
NPI Number Detail
| NPI Number | 1376769869 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 1412 S Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19146 |
| Phone Number | 2157552010 |
| Fax Number | 2159401266 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PP414363L |
|
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 |
|---|---|---|---|
| 121699 | PA | -- | |
| 3961047 | PA | NABP |
Post Comment/ Review Below
What is the Broad St Pharmacy's 1376769869?
The Broad St Pharmacy's NPI (National Provider Identifier) Number is 1376769869. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Broad St Pharmacy is physically located?
The Broad St Pharmacy is physically situated at the following address: 1412 S Broad St, Philadelphia, PA, 19146.
What is the area of specialization for Broad St Pharmacy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Broad St Pharmacy is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.
When did Broad St Pharmacy receive its 1376769869 assignment?
The Broad St Pharmacy was assigned its 1376769869 on 2007-04-17, which is the date when this unique identifier was issued to the organization.
When was the information related to Broad St Pharmacy most recently updated or refreshed?
The details pertaining to the Broad St Pharmacy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-21.
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