Organization
MAAR INDIANA INC.
Active
Other names
Broadway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHENDRA KHATAU (OWNER)
(630) 747-9881
Entity
Organization
Contact information
Practice address
5304 BROADWAY, MERRILLVILLE, IN 46410-1555
(219) 884-2640
(219) 884-2650
Mailing address
5304 BROADWAY, MERRILLVILLE, IN 46410-1555
(219) 884-2640
(219) 884-2650
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006364A
IN
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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