Organization
EAST BROADWAY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MOSELY (OFFICER)
(281) 416-4439
Entity
Organization
Contact information
Practice address
1712 N VELASCO ST STE D, ANGLETON, TX 77515-3195
(281) 416-4439
Mailing address
3525 BROADWAY ST STE 105, PEARLAND, TX 77581-4379
(281) 416-4439
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
09/19/2024
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