Healthcare Provider Details

I. General information

NPI: 1205743010
Provider Name (Legal Business Name): JOSEPH BROUGHTON PHARMD, BCOP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 1ST ST
DULUTH MN
55805-1901
US

IV. Provider business mailing address

502 E 2ND ST
DULUTH MN
55805-1913
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-8534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number124363
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: