Broad Avenue Pharmacy LLC
NPI #1184661589 in Altoona, Pennsylvania
Provider Information
- NPI Number
- 1184661589
- Entity Type
- Organization
- Organization Name
- Broad Avenue Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Apr 26, 2022
Practice Location
- Address
- 2329 BROAD AVE
- City
- Altoona
- State
- Pennsylvania
- ZIP Code
- 16601-1979
- Phone
- (814) 943-1310
Authorized Official
- Name
- WILLIAM THOMPSON
- Title
- PRESIDENT
- Phone
- (814) 944-6139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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