# BROAD AVENUE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THOMPSON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659134716
- **Authorized official:** WILLIAM D THOMPSON (PRESIDENT)
- **Authorized official phone:** (814) 944-6139

## Contact information

- **Practice address:** 2329 BROAD AVE, ALTOONA, PA 16601-1979
- **Practice address phone:** (814) 943-1310
- **Practice address fax:** (814) 943-2841
- **Mailing address:** 2329 BROAD AVE, ALTOONA, PA 16601-1979
- **Mailing address phone:** (814) 943-1310
- **Mailing address fax:** (814) 943-2841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024