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1396465407
BROAD STREET PHARMA CORP
STATEN ISLAND, NY
NPI
1396465407
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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
Business Address
BROAD STREET PHARMA CORP
209 BROAD ST
STATEN ISLAND, NY 10304-2105
Phone number: 347-464-1533
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Mailing Address
BROAD STREET PHARMA CORP
209 BROAD ST
STATEN ISLAND, NY 10304-2105
Phone number:
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