Organization
BROADWAY CLINIC PHARMACY INC
Active
Organization
BROADWAY CLINIC PHARMACY INC
Active
Other names
MEDICINE CABINET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEE (OWNER)
(606) 286-2035
Entity
Organization
Contact information
Practice address
230 STATE HIGHWAY 2, OLIVE HILL, KY 41164-4513
(606) 286-2035
(606) 286-0156
Mailing address
230 STATE HIGHWAY 2, OLIVE HILL, KY 41164-4513
(606) 286-2035
(606) 286-0156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831381
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100620930
—
KY
Enumeration date
07/21/2009
Last updated
03/18/2025
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