Individual
DR. JUSTIN BROADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
606 S PARK ST, POCAHONTAS, AR 72455-3132
(870) 892-5517
Mailing address
178 HAMPTON, POCAHONTAS, AR 72455-1463
(870) 378-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13232
AR
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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