| NPI | 1396888061 |
|---|---|
| Doing Business As | BROADWAY PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JAYPRAKASH PANDYA President Pharmacist 773-271-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054013828) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-05-14 |