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Contact Information

BROADWAY PHARMACY INC.
101 COLORADO AVE
PUEBLO, CO81004-4213
 Phone: 719-545-0430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROADWAY PHARMACY INC.

NPI # 1174140750
LBN Legal business name BROADWAY PHARMACY INC.
Authorized official ERIC YOXEY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2020
Last updated 06/30/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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