<Unavail>

LBN: Broadway Clinic Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 230 State Highway 2 , Olive Hill KY 41164-4513. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Broadway Clinic Pharmacy Inc can be contacted via phone (606) 286-2035, or through Lee, Joseph via phone (606) 286-2035.

Contact Information

Primary practice address
230 State Highway 2 Olive Hill KY 41164-4513
Fax: (606) 286-0156
Website:
Authorized official contact:
Name: Lee, Joseph

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447480702
LBN Legal business name Broadway Clinic Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Lee, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Mar 18th, 2025 - about last year

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 1447480702 NPPES
Kentucky MEDICAID 7100620930
Kentucky Other 1831381

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