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Broadway Ltc, Llc
Long Term Care Pharmacy in Cape Girardeau, Missouri
NPI 1457758153

Broadway Ltc, Llc is a Long Term Care Pharmacy based in Cape Girardeau, MO and is specialized in Long Term Care Pharmacy. Broadway Ltc, Llc practices in Cape Girardeau, MO. The NPI Number for Broadway Ltc, Llc is 1457758153 and holds a License No. PS2014040344 (Missouri).

The current practice location address for Broadway Ltc, Llc is 37 Doctors Park Ste 7, Cape Girardeau, MO and can be reached out via phone at 573-803-2040.

Location: 37 Doctors Park Ste 7, Cape Girardeau, MO, 63701-5514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457758153
Provider Name
Broadway Ltc, Llc
Credential
Provider Entity Type
Organization
Address
37 Doctors Park Ste 7, Cape Girardeau, MO, 63701-5514
Phone Number
573-803-2040
Fax Number
Provider Enumeration Date
11/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
37 Doctors Park Ste 7
City
Cape Girardeau
State
Missouri
Zip
63703
Phone Number
573-803-2040
Fax Number
person
Provider Business Mailing Address Details
Address
37 Doctors Park Ste 7
City
Cape Girardeau
State
Missouri
Zip
63703
Phone Number
573-803-2040
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PS2014040344 (Missouri)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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