| NPI | 1114283512 |
|---|---|
| Doing Business As | BROADWAY CORNER |
| Entity Type | Organization |
| Authorized Contact | MAHMUD HOSSAIN Supervising Pharmacist 718-426-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031253) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-07-23 |