NELSON L SHOWALTE TA BROADWAY DRUG CENTER
169 E Springbrook Rd
Broadway, VA 22815
540-896-3251
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0139073000 | WV | MEDICAID |