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1821082504
BROADWAY LTC PHARMACY, INC.
SACRAMENTO, CA
NPI
1821082504
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Entity Type
Organization
Authorized Contact
DAVID CARROLL
CEO
916-364-2418
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA PHY44334)
Enumeration Date
2005-09-08
Last Update Date
2020-08-22
Business Address
BROADWAY LTC PHARMACY, INC.
3330 BROADWAY
SACRAMENTO, CA 95817-2840
Phone number: 916-452-8022
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Mailing Address
BROADWAY LTC PHARMACY, INC.
4545 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 916-364-2416
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