Broadway Pharmacy Corporation
NPI #1104217165 in Lemon Grove, California
Provider Information
- NPI Number
- 1104217165
- Entity Type
- Organization
- Organization Name
- Broadway Pharmacy Corporation
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 12, 2015
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 7600 PACIFIC AVE
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945
- Phone
- (619) 717-8990
Authorized Official
- Name
- MR. VINCENT T NGUYEN, PHARM.D
- Title
- CEO/CFO/SEC/DIR
- Phone
- (619) 600-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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