| NPI | 1124180526 |
|---|---|
| Doing Business As | BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GUS SOTIRIOU Owner 801-363-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 1173051703) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: UT 1173051703) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |