NPI | 1396465407 |
---|---|
Doing Business As | BROAD STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMAL ALI Manager 347-464-1533 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |