Organization
BROADWAY PHARMACY
Active
Organization
BROADWAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN DUY NGUYEN PHARMD (OWNER/PHARAMCIST)
(832) 885-7061
Entity
Organization
Contact information
Practice address
3744 BROADWAY ST, C, HOUSTON, TX 77017-3046
(832) 885-7061
(713) 450-0028
Mailing address
3744 BROADWAY ST, C, HOUSTON, TX 77017-3046
(832) 885-7061
(713) 450-0028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28788
TX
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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