| NPI | 1922049352 |
|---|---|
| Doing Business As | BROADWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA EDAVALAPATI Pharmacy Manager 212-740-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027473) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-01-17 |