<Unavail>

LBN: Broadway Specialty, Llc
<Unavail> is an health care organization with primary practice located at 706 Broadway St , Cape Girardeau MO 63701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Broadway Specialty, Llc can be contacted via phone (800) 640-8207, or through Wood, Kevin via phone (573) 335-8207.

Contact Information

Primary practice address
706 Broadway St Cape Girardeau MO 63701
Phone: (800) 640-8207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wood, Kevin PHARMD
Phone: (573) 335-8207

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1932690377
LBN Legal business name Broadway Specialty, Llc
DBA Doing business as <Unavail>
Authorized official Wood, Kevin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2018
Last updated Jul 10th, 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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