BROADWAY PHARMACY PA NPI 1144321084

NPI Information

BROADWAY PHARMACY PA is a pharmacy in Wichita, KS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BROADWAY PHARMACY PA NPI is 1144321084. The provider is registered as an organization entity type.
The provider Other Name Is Broadway Pharmacy.

The provider's business location address is:

1610 S BROADWAY ST
WICHITA, KS
ZIP 67211-119
Phone: (316) 260-8880
Fax: (316) 260-8881

The provider's authorized official is David B Bergen .
The authorized official title is President / Pharmacist and has the following contact phone number (316) 260-8880.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 6/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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