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1114478344
JOSEPH T BROADWAY
LEXINGTON, SC
NPI
1114478344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 6752)
Additional Taxonomies
183500000X Pharmacist
(Licence: NC 7526)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- JOSEPH T BROADWAY RPh
119 GREENSIDE DR
LEXINGTON, SC 29072-8215
Phone number: 803-278-2476
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Mailing Address
-- JOSEPH T BROADWAY RPh
135 MARKET PLAZA DR.
NORTH AUGUSTA, SC 29860-9274
Phone number: 803-278-2476
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