Broad Avenue Pharmacy LLC
NPI #1396879003 in New Orleans, Louisiana
Provider Information
- NPI Number
- 1396879003
- Entity Type
- Organization
- Organization Name
- Broad Avenue Pharmacy LLC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1400 NORTH BROAD AVENUE
- City
- New Orleans
- State
- Louisiana
- ZIP Code
- 70119
- Phone
- (504) 309-4388
Authorized Official
- Name
- PHAT KIM QUACH
- Title
- VICE-PRESIDENT AND PHARMACIST
- Phone
- (504) 231-4796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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