Organization
BROADWAY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKWUMA G OKEKE PHARM D (OWNER PHARMACIST)
(410) 563-2500
Entity
Organization
Contact information
Practice address
1645 E BALTIMORE ST, BALTIMORE, MD 21231-1510
(410) 563-2500
(410) 732-8871
Mailing address
1645 E BALTIMORE ST, PO BOX 88, BALTIMORE, MD 21231-1510
(410) 563-2500
(410) 732-8871
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
13758
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210G210
NABP
—
Enumeration date
07/15/2006
Last updated
08/22/2020
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