Organization
BROADWATER DRUG, INC
Active
Organization
BROADWATER DRUG, INC
Active
Other names
Broadwater Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAY STREET RPH (OWNER-PHARMACIST)
(276) 386-3821
Entity
Organization
Contact information
Practice address
166 E JACKSON ST, GATE CITY, VA 24251-3417
(276) 386-3821
(276) 386-7582
Mailing address
166 E JACKSON ST, GATE CITY, VA 24251-3417
(276) 386-3821
(276) 386-7582
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000069
VA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up