| NPI | 1912992033 |
|---|---|
| Doing Business As | BROADMOOR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN J GRIFFIN President 219-836-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 60003614A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |