Organization · Type 2 NPI
Broad ST Pharmacy
Pharmacy · Philadelphia, PA
Practice location
1412 S Broad St
Philadelphia, PA 19146
Fax (215) 940-1266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Primary | 333600000X | PP414363L (PA) |
Pharmacy: 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 lo…
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About NPI 1376769869
Broad ST Pharmacy's National Provider Identifier is 1376769869, issued on Apr 17, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 21, 2007.