Organization
BROADWAY PHARMACY PA
Active
Other names
Broadway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B BERGEN RPH (PRESIDENT / PHARMACIST)
(316) 260-8880
Entity
Organization
Contact information
Practice address
1610 S BROADWAY ST, WICHITA, KS 67211-4119
(316) 260-8880
(316) 260-8881
Mailing address
1610 S BROADWAY ST, WICHITA, KS 67211-4119
(316) 260-8880
(316) 260-8881
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
209952
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718305
NCPDP
KS
05
—
200268670A
—
KS
Enumeration date
09/25/2006
Last updated
06/25/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us