Organization
BROADWAY PHARMACY CORPORATION
Active
Other names
Broadway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT T NGUYEN PHARM.D (CEO/CFO/SEC/DIR)
(619) 600-7246
Entity
Organization
Contact information
Practice address
7600 PACIFIC AVE, LEMON GROVE, CA 91945
(619) 717-8990
(619) 717-8616
Mailing address
7600 PACIFIC AVE, LEMON GROVE, CA 91945
(619) 717-8990
(619) 717-8616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH 53335
CA
Other
Enumeration date
02/12/2015
Last updated
01/27/2025
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