Organization
GRIFFIN BROADMOOR PHARMACY INC
Active
Other names
Broadmoor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J GRIFFIN RPH (PRESIDENT)
(219) 836-8585
Entity
Organization
Contact information
Practice address
110 RIDGE RD, MUNSTER, IN 46321-1520
(219) 836-8585
(219) 836-5657
Mailing address
110 RIDGE RD, MUNSTER, IN 46321-1520
(219) 836-8585
(219) 836-5657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60003614A
IN
Other
Enumeration date
09/14/2005
Last updated
08/22/2020
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