Broadway Pharmacy Corporation
Pharmacy
7600 Pacific Ave, Lemon Grove
California, 91945
619-717-8990 619-717-8616
Broadway Pharmacy Corporation is a Pharmacy in Lemon Grove, California. It is located at 7600 Pacific Ave, Lemon Grove and it's customer support contact number is 619-717-8990. The authorized person of Broadway Pharmacy Corporation is Mr. Vincent T Nguyen, PHARM.D who is Ceo/cfo/sec/dir of the pharmacy and his contact number is 619-600-7246. Active license number of Broadway Pharmacy Corporation is RPH 53335 for Pharmacy in California. Broadway Pharmacy Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Broadway Pharmacy Corporation is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Broadway Pharmacy Corporation 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: | Broadway Pharmacy Corporation |
| Type: | Pharmacy |
| Location: | 7600 Pacific Ave, Lemon Grove,
California, 91945 |
| Phone: | 619-717-8990 |
| Fax: | 619-717-8616 |
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: | Mr. Vincent T Nguyen |
| Credentials: | PHARM.D |
| Position: | Ceo/cfo/sec/dir |
| Contact Number: | 619-600-7246 |
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: | 1104217165 |
| NPI Enumeration Date: | 12 Feb, 2015 |
| NPI Last Update On: | 27 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Pharmacy Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | RPH 53335 | California | Primary | |
Medicare Enrollment:
Broadway Pharmacy Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4183927338 | O20160121000837 | Broadway Pharmacy Corporation | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7600 Pacific Ave,
Lemon Grove, California |
| Zip: | 91945 |
| Phone Number: | 619-717-8990 |
| Fax Number: | 619-717-8616 |
Patients can reach Broadway Pharmacy Corporation at
7600 Pacific Ave, Lemon Grove, California or can
call on customer care at 619-717-8990.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.