OrganizationActive
Broad Street Family Pharmacy
NPI 1497986657 · Pharmacy · Philadelphia, PA
Provider details
- NPI number
- 1497986657
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elizabeth Thompson, President(215) 755-2010
- License
- PP4811922 (PA)
Specialties & taxonomies
Suppliers
Practice location
1416 S Broad St
Philadelphia, PA 19146-4861
Phone: (215) 755-2010
Approximate (ZIP-level) locationGet directions
Mailing address
1416 S Broad St
Philadelphia, PA 19146-4861
Registry dates
- Enumerated
- 2009-08-05
- Last updated
- 2011-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.