Organization
GALVESTON BROADWAY DRUG LLC
Active
Other names
Galveston Broadway Drug
Organization subpart
No
Provider details
NPI number
Authorized official
NANDAN KUMAR SHAW RPH (MANAGING MEMBER)
(409) 765-7701
Entity
Organization
Contact information
Practice address
2027 BROADWAY AVE J, GALVESTON, TX 77550-4635
(409) 765-7701
(409) 762-2545
Mailing address
2027 BROADWAY AVE J, GALVESTON, TX 77550-4635
(409) 762-2545
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150476
—
TX
Enumeration date
08/11/2021
Last updated
05/19/2025
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