| NPI | 1508430265 |
|---|---|
| Doing Business As | BROAD SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FAHAD KHAN Pharmacist In Charge 201-339-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-02-28 |