NPI | 1669550174 |
---|---|
Doing Business As | WEST BROAD MEDICAL PHCY |
Entity Type | Organization |
Authorized Contact | TRACY HAMMOND Third Party Admin 614-481-4272 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |