NPI | 1508287111 |
---|---|
Doing Business As | BROADWAY PHARMACY |
Entity Type | Organization |
Authorized Contact | MAHENDRA KHATAU Owner 630-747-9881 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006364A) |
Enumeration Date | 2013-12-27 |
Last Update Date | 2013-12-27 |