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Organization
THE BROADWAY GROUP, LLC
Active
Organization
THE BROADWAY GROUP, LLC
Active
Other names
The Medicine Man Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN J TOUHEY (MMBR)
(239) 368-9994
Entity
Organization
Contact information
Practice address
3822 BROADWAY, SUITE C, FORT MYERS, FL 33901-8148
(239) 274-3004
Mailing address
904 LEE BLVD, SUITE 108, LEHIGH ACRES, FL 33936-4953
(239) 368-9994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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