| NPI | 1992193932 |
|---|---|
| Doing Business As | BROADMEDS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AZZAM MOHAMAD President 718-919-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |