BROADWAY LTC LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054021419

License Status

NOT RENEWED

Business

Business Name

BROADWAY LTC LLC

Original Issue Date

11/01/2019

Effective Date

02/26/2022

Expiration Date

03/31/2024

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

02/05/2025