BROAD STREET PHARMACY INC

FALLS CHURCH, VA
NPI1598933434
Doing Business AsBROAD STREET PHARMACY
Entity TypeOrganization
Authorized ContactREZA GHADERI
Owner
703-307-2139
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: VA  0201004216)
Additional Taxonomies3336S0011X Pharmacy, Specialty Pharmacy
3336C0004X Pharmacy, Compounding Pharmacy
Enumeration Date2008-02-13
Last Update Date2013-05-13
Business Address
BROAD STREET PHARMACY INC
450 W BROAD ST STE 120 B
FALLS CHURCH, VA 22046-3340
Phone number: 703-533-9013
Mailing Address
BROAD STREET PHARMACY INC
450 W BROAD ST STE 120
FALLS CHURCH, VA 22046-3340
Phone number: 703-533-9013