| NPI | 1710117627 |
|---|---|
| Doing Business As | LA HISPANA ON BROADWAY PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES SEIDE Partner 516-375-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029488) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-08-18 |