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Broad St Pharmacy
Pharmacy in Philadelphia, Pennsylvania
NPI 1376769869

Broad St Pharmacy is a Pharmacy based in Philadelphia, PA. Broad St Pharmacy practices in Philadelphia, PA. The NPI Number for Broad St Pharmacy is 1376769869 and holds a License No. PP414363L (Pennsylvania).

The current practice location address for Broad St Pharmacy is 1412 S Broad St, Philadelphia, PA and can be reached out via phone at 215-755-2010 and via fax at 215-940-1266.

Location: 1412 S Broad St, Philadelphia, PA, 19146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376769869
Provider Name
Broad St Pharmacy
Credential
Provider Entity Type
Organization
Address
1412 S Broad St, Philadelphia, PA, 19146
Phone Number
215-755-2010
Fax Number
215-940-1266
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00121699 05 PA
3961047 01 PA NABP
institution
Provider Business Practice Location Address Details
Address
1412 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19146
Phone Number
215-755-2010
Fax Number
215-940-1266
person
Provider Business Mailing Address Details
Address
1412 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19146
Phone Number
215-755-2010
Fax Number
215-940-1266
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PP414363L (Pennsylvania)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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