Broad Street Pharmacy, Inc in Chesaning - Community/retail Pharmacy
Broad Street Pharmacy, Inc - NPI 1710913355
Broad Street Pharmacy, Inc is a Community/retail Pharmacy in Chesaning, Michigan. Broad Street Pharmacy, Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Broad Street Pharmacy, Inc is 1710913355. The last update date is 2014-12-30.
Broad Street Pharmacy, Inc's current location address is 1115 W Broad St, Chesaning, Michigan. You can contact this provider via phone number 9898459355 and fax number 9898459356. The mailing address for Broad Street Pharmacy, Inc is 1115 W Broad St, Chesaning, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broad Street Pharmacy, Inc |
|---|---|
| Address | 1115 W Broad St, Chesaning, Michigan |
| Phone Number | 9898459355 |
| Fax Number | 9898459356 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tomac Ann Beth |
| Telephone Number | 9898459355 |
NPI Number Detail
| NPI Number | 1710913355 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2014-12-30 |
Provider Mailing Address Detail
| Address | 1115 W Broad St |
|---|---|
| City | Chesaning |
| State | Michigan (MI) |
| Post Code | 486161068 |
| Phone Number | 9898459355 |
| Fax Number | 9898459356 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2366498 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Broad Street Pharmacy, Inc by the Centers for Medicare & Medicaid Services?
The Broad Street Pharmacy, Inc has been issued the NPI (National Provider Identifier) 1710913355. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Broad Street Pharmacy, Inc located?
The Broad Street Pharmacy, Inc is located at 1115 W Broad St, Chesaning, MI 486161068.
What is Broad Street Pharmacy, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Broad Street Pharmacy, Inc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710913355 to Broad Street Pharmacy, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1710913355 to Broad Street Pharmacy, Inc on 2006-06-24.
When was the Broad Street Pharmacy, Inc's information last updated?
The Broad Street Pharmacy, Inc's information was last updated on 2014-12-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY