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Individual

JOSEPH T BROADWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
119 GREENSIDE DR, LEXINGTON, SC 29072-8215
(803) 278-2476
(803) 278-2405
Mailing address
135 MARKET PLAZA DR., NORTH AUGUSTA, SC 29860-9274
(803) 278-2476
(803) 278-2405

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6752
SC
183500000X
Pharmacist
7526
NC

Other

Enumeration date
10/24/2016
Last updated
10/24/2016
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