Broadway Clinic Pharmacy INC
NPI #1700194578 in Kermit, West Virginia
Provider Information
- NPI Number
- 1700194578
- Entity Type
- Organization
- Organization Name
- Broadway Clinic Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 15, 2010
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- 47454 ROUTE 52
- City
- Kermit
- State
- West Virginia
- ZIP Code
- 25674-8052
- Phone
- (304) 393-6905
Authorized Official
- Name
- STEVE WILLIAMS
- Title
- PRESIDENT
- Phone
- (606) 324-6337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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