| NPI | 1780604215 |
|---|---|
| Doing Business As | BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAN WANG President 718-803-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025273) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-03-07 |