# BROAD STREET HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ladas Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619744174
- **Authorized official:** STERLING RIVERS (OWNER/PHARMACIST)
- **Authorized official phone:** (251) 432-5601

## Contact information

- **Practice address:** 1050 S BROAD ST, MOBILE, AL 36603-1038
- **Practice address phone:** (251) 432-5601
- **Mailing address:** 1050 S BROAD ST, MOBILE, AL 36603-1038
- **Mailing address phone:** (251) 554-7657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 02/22/2024