OrganizationActive
Broad St Pharmacy
NPI 1376769869 · Pharmacy · Philadelphia, PA
Provider details
- NPI number
- 1376769869
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Authorized official
- Morris White, Owner Rph
- License
- PP414363L (PA)
Practice location
1412 S Broad St
Philadelphia, PA 19146
Phone: (215) 755-2010
Fax: (215) 940-1266
Mailing address
1412 S Broad St
Philadelphia, PA 19146
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.