Broadwater Drug, Inc in Gate City - Community/retail Pharmacy

Broadwater Drug, Inc - NPI 1548286024

Broadwater Drug, Inc is a Community/retail Pharmacy in Gate City, Virginia. Broadwater Drug, Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Broadwater Drug, Inc is 1548286024. The last update date is 2020-08-22.

Broadwater Drug, Inc's current location address is 166 E Jackson St, Gate City, Virginia. You can contact this provider via phone number 2763863821 and fax number 2763867582. The mailing address for Broadwater Drug, Inc is 166 E Jackson St, Gate City, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadwater Drug, Inc
Address 166 E Jackson St, Gate City, Virginia
Phone Number 2763863821
Fax Number 2763867582
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER-PHAR
Authorized Official Name Street Ray Anthony
Credentials RPH
Telephone Number 2763863821

NPI Number Detail

NPI Number 1548286024
Provider Enumeration Date 2006-07-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 166 E Jackson St
City Gate City
State Virginia (VA)
Post Code 242513417
Phone Number 2763863821
Fax Number 2763867582

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 201000069
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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FAQs about Broadwater Drug, Inc

What is the Broadwater Drug, Inc's unique identification number?

The Broadwater Drug, Inc has been assigned the NPI (National Provider Identifier) Number 1548286024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Broadwater Drug, Inc is physically located?

The Broadwater Drug, Inc is situated at the following address: 166 E Jackson St, Gate City, VA 242513417.

What is the Broadwater Drug, Inc's area of specialization and corresponding taxonomy classification?

The Broadwater Drug, Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.

When did Broadwater Drug, Inc receive its 1548286024 assignment?

The Broadwater Drug, Inc was assigned its 1548286024 on 2006-07-15, which is the date when this unique identifier was issued to the organization.

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

The information related to Broadwater Drug, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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