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Organization

TOWN DRUG AT BROADWAY INC

Active
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Organization

TOWN DRUG AT BROADWAY INC

Active
Other names
TOWN DRUG AT BROADWAY,Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
SALVATORE PAGANO R.PH. (VP)
(212) 304-9582
Entity
Organization

Contact information

Practice address
4764 BROADWAY, NEW YORK, NY 10034-4916
(212) 304-9582
(212) 304-9713
Mailing address
4785 BROADWAY, NEW YORK, NY 10034-4915
(212) 304-9582
(212) 304-9713

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022829
NY
3336S0011X
Specialty Pharmacy
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01622302
—
NY
01
—
2060044
PK
—
Enumeration date
07/22/2006
Last updated
03/29/2023
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