Organization
BROAD STREET PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA ELIZABETH MASON (PRESIDENT)
(989) 845-9355
Entity
Organization
Contact information
Practice address
1115 W BROAD ST, CHESANING, MI 48616-1068
(989) 845-9355
(989) 845-9356
Mailing address
1115 W BROAD ST, CHESANING, MI 48616-1068
(989) 845-9355
(989) 845-9356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366498
—
MI
Enumeration date
06/24/2006
Last updated
11/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us