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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