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Organization
BROADUS FOODS, INC
Active
Organization
BROADUS FOODS, INC
Active
Other names
Broadus IGA, Broadus IGA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI JO SCHROEDER (PHARMACIST IN CHARGE/MANAGER)
(406) 436-2270
Entity
Organization
Contact information
Practice address
120 S PARK AVENUE, BROADUS, MT 59317-0549
(406) 436-2270
(406) 436-2362
Mailing address
PO BOX 549, BROADUS, MT 59317-0549
(406) 436-2270
(406) 436-2362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
1305
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669795647
—
MT
01
—
2124096
PK
—
Enumeration date
03/05/2010
Last updated
02/15/2022
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