NPI | 1073376406 |
---|---|
Doing Business As | BROADWAY REMEDY PHARMACY |
Entity Type | Organization |
Authorized Contact | ARAZ DERHARTOUNIAN President 818-548-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-01-30 |