| NPI | 1295259927 |
|---|---|
| Other Name | EAST BROADWAY PHARMACY |
| Doing Business As | EAST BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL BASTIEN Supervising Pharmacist 212-431-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035752) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-09-29 |