DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROAD ST PHARMACY

Active Organization

BROAD ST PHARMACY is a Pharmacy organization located in PHILADELPHIA, Pennsylvania. NPI 1376769869 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · PHILADELPHIA, PA

Registration Details

NPI Number
1376769869
Provider Type
Organization
NPI Issued
Apr 17, 2007 (19.33667112603 yrs)
Last Updated
Aug 21, 2007
License
PP414363L (PA)

Practice Information

Address
1412 S BROAD ST
PHILADELPHIA, PA, 19146
Browse PA providers · Browse ZIP 19146
Phone
2157552010
Fax
2159401266
Primary Specialty
Pharmacy
333600000X

Other Pharmacy Organizations in PHILADELPHIA, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.