| NPI | 1639489529 |
|---|---|
| Doing Business As | THE BROADWAY CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JANIE SHACKELFORD PIC 405-429-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-5535) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2016-11-02 |