Broadus Iga Pharmacy

LBN: Broadus Foods, Inc
Broadus Iga Pharmacy is an health care organization with primary practice located at 120 S Park Avenue , Broadus MT 59317-0549. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Broadus Foods, Inc can be contacted via phone (406) 436-2270, or through Schroeder, Jami Jo via phone (406) 436-2270.

Contact Information

Primary practice address
120 S Park Avenue Broadus MT 59317-0549
Phone: (406) 436-2270
Fax: (406) 436-2362
Website:
Map and Directions
Authorized official contact:
Name: Schroeder, Jami Jo
Phone: (406) 436-2270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1305 Montana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1669795647
LBN Legal business name Broadus Foods, Inc
DBA Doing business as Broadus Iga Pharmacy
Authorized official Schroeder, Jami Jo
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2010
Last updated Feb 15th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669795647 NPPES
Other 2124096 PK
MEDICAID 1669795647 PK

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