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Broadway Clinic Pharmacy Inc
Community/Retail Pharmacy in Kermit, West Virginia
NPI 1700194578

Broadway Clinic Pharmacy Inc is a Community/Retail Pharmacy based in Kermit, WV and is specialized in Community/Retail Pharmacy. Broadway Clinic Pharmacy Inc practices in Kermit, WV. The NPI Number for Broadway Clinic Pharmacy Inc is 1700194578 and holds a License No. MP0552389 (West Virginia).

The current practice location address for Broadway Clinic Pharmacy Inc is 47454 Route 52, Kermit, WV and can be reached out via phone at 304-393-6905 and via fax at 304-393-6907.

Location: 47454 Route 52, Kermit, WV, 25674-8052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700194578
Provider Name
Broadway Clinic Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
47454 Route 52, Kermit, WV, 25674-8052
Phone Number
304-393-6905
Fax Number
304-393-6907
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5055290 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
47454 Route 52
City
Kermit
State
West Virginia
Zip
25674-8052
Phone Number
304-393-6905
Fax Number
304-393-6907
person
Provider Business Mailing Address Details
Address
47454 Route 52
City
Kermit
State
West Virginia
Zip
25674-8052
Phone Number
304-393-6905
Fax Number
304-393-6907
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
MP0552389 (West Virginia)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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