| NPI | 1447703236 |
|---|---|
| Doing Business As | BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AVELINO JESUS AVELENDA Owner/President/R PIC 201-766-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00749800) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |