Organization
BROAD-RIDGE DRUG,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKWUDI L. ONWUKA MS,RPH (PRESIDENT)
(219) 884-4445
Entity
Organization
Contact information
Practice address
3776 BROADWAY, GARY, IN 46408-2203
(219) 884-4445
(219) 884-4480
Mailing address
3776 BROADWAY, GARY, IN 46408-2203
(219) 884-4445
(219) 884-4480
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005393A
IN
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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