Broadwater Drug, INC

NPI #1548286024 in Gate City, Virginia

Provider Information

NPI Number
1548286024
Entity Type
Organization
Organization Name
Broadwater Drug, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
166 E JACKSON ST
ZIP Code
24251-3417
Phone
(276) 386-3821

Authorized Official

Name
ANTHONY RAY STREET, RPH
Title
OWNER-PHARMACIST
Phone
(276) 386-3821

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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