Organization · Type 2 NPI

Broadway Ltc, LLC

Long Term Care Pharmacy · Cape Girardeau, MO

NPI number 1457758153 Active

Practice location

37 Doctors Park Ste 7
Cape Girardeau, MO 63703

Mailing address

710 Broadway St
Cape Girardeau, MO 63701-5514

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XPS2014040344 (MO)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1457758153

Broadway Ltc, LLC's National Provider Identifier is 1457758153, issued on Nov 24, 2014. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jul 24, 2018.