| NPI | 1114559713 |
|---|---|
| Doing Business As | BROAD AND SNYDER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN LAM Pharmacy Manager 267-679-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |