Broadway Ltc Pharmacy, Inc.

NPI #1821082504 in Sacramento, California

Provider Information

NPI Number: 1821082504
Entity Type: Organization
Organization Name: Broadway Ltc Pharmacy, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Sep 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3330 BROADWAY
City: Sacramento
State: California
ZIP Code: 95817-2840
Phone: (916) 452-8022

Authorized Official

Name: DAVID CARROLL, PHARMD
Title: CEO
Phone: (916) 364-2418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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