Organization
BROADWAY SPECIALTY, LLC
Active
Other names
Remedy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WOOD PHARMD (OWNER)
(573) 335-8207
Entity
Organization
Contact information
Practice address
706 BROADWAY ST, CAPE GIRARDEAU, MO 63701
(800) 640-8207
Mailing address
710 BROADWAY ST, CAPE GIRARDEAU, MO 63701-5514
(573) 335-8207
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
07/10/2019
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