NPI | 1427130210 |
---|---|
Doing Business As | 3340 BROADWAY PHARMACY |
Entity Type | Organization |
Authorized Contact | EDWIN PEREZ President 212-926-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027032) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-20 |
Last Update Date | 2014-10-27 |