Broadway Family Pharmacy

LBN: Broadway Family Pharmacy Pllc
Broadway Family Pharmacy is an health care organization with primary practice located at 6006 S Central Ave , Phoenix AZ 85042-4235. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broadway Family Pharmacy Pllc can be contacted via phone (602) 276-5485, or through Akubukwe, Obinna via phone (602) 384-0301.

Contact Information

Primary practice address
6006 S Central Ave Phoenix AZ 85042-4235
Phone: (602) 276-5485
Fax: (602) 276-0485
Website:
Map and Directions
Authorized official contact:
Name: Akubukwe, Obinna PHARM D
Phone: (602) 384-0301

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y005639 Arizona

Profile Details

NPI number 1467898312
LBN Legal business name Broadway Family Pharmacy Pllc
DBA Doing business as Broadway Family Pharmacy
Authorized official Akubukwe, Obinna PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2013
Last updated May 9th, 2016 - about 10 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 1467898312 NPPES
Arizona MEDICAID 818252
Arizona Other 2140402

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