Broad Street Pharmacy, Inc

LBN: Broad Street Pharmacy, Inc
Broad Street Pharmacy, Inc is an health care organization with primary practice located at 1115 W Broad St , Chesaning MI 48616-1068. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Broad Street Pharmacy, Inc can be contacted via phone (989) 845-9355, or through Tomac, Beth via phone (989) 845-9355.

Contact Information

Primary practice address
1115 W Broad St Chesaning MI 48616-1068
Phone: (989) 845-9355
Fax: (989) 845-9356
Website:
Map and Directions
Authorized official contact:
Name: Tomac, Beth
Phone: (989) 845-9355

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1952864951
LBN Legal business name Broad Street Pharmacy, Inc
DBA Doing business as
Authorized official Tomac, Beth
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 8th, 2019
Last updated Apr 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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