Broome, Cathy

Broome, Cathy is an individual health care provider with primary practice located at 15371 Dedeaux Rd , Gulfport MS 39503-3123. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Broome, Cathy can be contacted via phone (228) 539-9890.

Contact Information

Primary practice address
15371 Dedeaux Rd Gulfport MS 39503-3123
Phone: (228) 539-9890
Fax: (228) 539-0238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-7189 Mississippi

Profile Details

NPI number 1740564319
LBN Legal business name Broome, Cathy
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740564319 NPPES
Mississippi MEDICAID 00330509

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