| NPI | 1235813502 |
|---|---|
| Doing Business As | BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JODEE RICHESON Owner/Pharmacist In Charge 701-720-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-10-16 |