Broadway Medical Pharmacy

NPI #1154461085 in Anaheim, California

Provider Information

NPI Number: 1154461085
Entity Type: Organization
Organization Name: Broadway Medical Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Feb 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1673 W BROADWAY STE 1
City: Anaheim
State: California
ZIP Code: 92802-1109
Phone: (714) 772-3630

Authorized Official

Name: MS. VAN PHI LE, RPH41632
Title: DIRECT OWNER
Phone: (714) 772-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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