Broad Street Pharmacy Inc
Community/Retail Pharmacy
450 W Broad St, Ste 120 B, Falls Church
Virginia, 22046-3340
703-533-9013 703-533-9015
Broad Street Pharmacy Inc is a Community/Retail Pharmacy in Falls Church, Virginia. It is located at 450 W Broad St, Ste 120 B, Falls Church and it's customer support contact number is 703-533-9013. The authorized person of Broad Street Pharmacy Inc is Reza Ghaderi, RPH who is Owner of the pharmacy and his contact number is 703-307-2139. Active license number of Broad Street Pharmacy Inc is 0201004216 for Community/Retail Pharmacy in Virginia.
Broad Street Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Broad Street Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Broad Street Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 450 W Broad St, Ste 120 B, Falls Church,
Virginia, 22046-3340 |
| Phone: | 703-533-9013 |
| Fax: | 703-533-9015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Reza Ghaderi |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 703-307-2139 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598933434 |
| NPI Enumeration Date: | 13 Feb, 2008 |
| NPI Last Update On: | 13 May, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broad Street Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 0201004216 | Virginia | Primary | |
| Specialty Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2106340 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 450 W Broad St, Ste 120
Falls Church, Virginia |
| Zip: | 22046-3340 |
| Phone Number: | 703-533-9013 |
| Fax Number: | 703-533-9015 |
Patients can reach Broad Street Pharmacy Inc at
450 W Broad St, Ste 120 B, Falls Church, Virginia or can
call on customer care at 703-533-9013.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.