Broadus Foods, Inc
Organization Active NPI Pharmacy · Broadus, MT
NPI 1669795647 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1669795647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- BROADUS FOODS, INC
- Practice address
- 120 S Park Avenue
Broadus, MT 59317-0549 - Phone
- (406) 436-2270
- Fax
- (406) 436-2362
- NPI assigned
- Mar 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Jami Jo Schroeder
- Title
- Pharmacist in Charge/Manager
- Phone
- (406) 436-2270
Practitioners 1
-
Jami Jo Schroeder, PHARM.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | 1305 | MT | |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
120 S Park Avenue
Broadus, MT 59317-0549
Mailing address
PO Box 549
Broadus, MT 59317-0549
Phone (406) 436-2270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124096 | Other | PK | |
| 1669795647 | Medicaid | MT |
Other names
- Broadus IGA
- Broadus IGA Pharmacy
Other providers in Broadus, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.