| NPI | 1003918343 |
|---|---|
| Doing Business As | WEST BROADWAY COMMUNITY PHCY |
| Entity Type | Organization |
| Authorized Contact | AZRA SHAHID President 973-904-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00663400) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |