Organization
BROADWAY PHARMACY CORPORATION
Active
Other names
VINCENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT T NGUYEN (PRESIDENT)
(619) 693-5860
Entity
Organization
Contact information
Practice address
10225 AUSTIN DR STE 103, SPRING VALLEY, CA 91978-1521
(619) 825-7733
(619) 825-7734
Mailing address
9117 TROPICO DR, LA MESA, CA 91941-6734
(619) 600-7246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/26/2021
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