NPI | 1154719235 |
---|---|
Doing Business As | BROADWAY DOWNTOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | IVAN YAN Supervising Pharmacist 212-925-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033288) |
Enumeration Date | 2014-12-24 |
Last Update Date | 2015-01-28 |