Broad Street Pharmacy Inc in Falls Church - Specialty Pharmacy

Broad Street Pharmacy Inc - NPI 1598933434

Broad Street Pharmacy Inc is a Specialty Pharmacy in Falls Church, Virginia. Broad Street Pharmacy Inc practices all healthcare services and medical treatments related to Specialty Pharmacy. The NPI Number for Broad Street Pharmacy Inc is 1598933434. The last update date is 2013-05-13.

Broad Street Pharmacy Inc's current location address is 450 W Broad St, Falls Church, Virginia. You can contact this provider via phone number 7035339013 and fax number 7035339015. The mailing address for Broad Street Pharmacy Inc is 450 W Broad St, Falls Church, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broad Street Pharmacy Inc
Address 450 W Broad St, Falls Church, Virginia
Phone Number 7035339013
Fax Number 7035339015
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Ghaderi Reza
Credentials RPH
Telephone Number 7033072139

NPI Number Detail

NPI Number 1598933434
Provider Enumeration Date 2008-02-13
Last Updated Date 2013-05-13

Provider Mailing Address Detail

Address 450 W Broad St
City Falls Church
State Virginia (VA)
Post Code 220463340
Phone Number 7035339013
Fax Number 7035339015

Provider's Primary Taxonomy Detail

Speciality Specialty Pharmacy
Taxonomy 3336S0011X
Definition:
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require s

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2106340 PK

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FAQs about Broad Street Pharmacy Inc

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) 1598933434. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Broad Street Pharmacy Inc's physical address?

The Broad Street Pharmacy Inc is physically located at 450 W Broad St, in the city of Falls Church, VA, with the postal code 220463340.

What is Broad Street Pharmacy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Broad Street Pharmacy Inc is Specialty Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336S0011X.

On what date did the Broad Street Pharmacy Inc receive the assignment of its 1598933434 from the Centers for Medicare & Medicaid Services?

The Broad Street Pharmacy Inc was issued its 1598933434 by the Centers for Medicare & Medicaid Services on 2008-02-13.

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

The information related to Broad Street Pharmacy Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-13.

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