Broadway Ltc, LLC
NPI #1457758153 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1457758153
- Entity Type
- Organization
- Organization Name
- Broadway Ltc, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Nov 24, 2014
- Last Updated
- Jul 24, 2018
Practice Location
- Address
- 37 DOCTORS PARK STE 7
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63703
- Phone
- (573) 803-2040
Authorized Official
- Name
- KEVIN WOOD
- Title
- DIRECTOR OF PHARMACY
- Phone
- (573) 576-3029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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