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Organization

BROADUS FOODS, INC

Active
Other names
Broadus IGA, Broadus IGA Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JAMI JO SCHROEDER (PHARMACIST IN CHARGE/MANAGER)
(406) 436-2270
Entity
Organization

Contact information

Practice address
120 S PARK AVENUE, BROADUS, MT 59317-0549
(406) 436-2270
(406) 436-2362
Mailing address
PO BOX 549, BROADUS, MT 59317-0549
(406) 436-2270
(406) 436-2362

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
1305
MT
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669795647
MT
01
2124096
PK
Enumeration date
03/05/2010
Last updated
02/15/2022
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