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Organization

BROADWAY CLINIC PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LEMASTER (MANAGER)
(606) 789-9988
Entity
Organization

Contact information

Practice address
607 S MAYO TRL, PAINTSVILLE, KY 41240-1250
(606) 789-9988
Mailing address
607 S MAYO TRL, PAINTSVILLE, KY 41240-1250
(606) 789-9988

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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