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Contact Information

BROADUS FOODS, INC
120 S PARK AVENUE
BROADUS, MT59317-0549
 Phone: 406-436-2270
 Fax: 406-436-2362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROADUS FOODS, INC

NPI Number 1669795647
LBN Legal business name BROADUS FOODS, INC
Authorized official JAMI JO SCHROEDER - (PHARMACIST IN CHARGE/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2010
Last updated 02/15/2022 - About 4 years ago
Identifiers
MT License # 1305
MT Medicaid 1669795647
Other 2124096 PK
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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