Organization
BROADWAY DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA WILLIAMSON (OWNER)
(409) 765-7701
Entity
Organization
Contact information
Practice address
2027 BROADWAY ST, GALVESTON, TX 77550-4635
(409) 765-7701
(409) 762-2545
Mailing address
2027 BROADWAY ST, GALVESTON, TX 77550-4635
(409) 765-7701
(409) 762-2545
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4520739
NABP NUMBER
TX
05
—
TX0012
—
TX
Enumeration date
04/13/2007
Last updated
08/22/2020
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