Broad Street Pharmacy, INC
NPI #1710913355 in Chesaning, Michigan
Provider Information
- NPI Number
- 1710913355
- Entity Type
- Organization
- Organization Name
- Broad Street Pharmacy, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Nov 6, 2025
Practice Location
Authorized Official
- Name
- DR. TAMARA ELIZABETH MASON
- Title
- PRESIDENT
- Phone
- (989) 845-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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