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Organization
LISA LISA INC.
Active
Organization
LISA LISA INC.
Active
Other names
Broadway Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART WINZELBERG RPH (SECT/TREAS - SUPERVISING PHARMACIST)
(212) 724-1950
Entity
Organization
Contact information
Practice address
2330 BROADWAY, NEW YORK, NY 10024-4342
(212) 724-1950
(212) 724-1946
Mailing address
2330 BROADWAY, NEW YORK, NY 10024-4342
(212) 724-1950
(212) 724-1946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329862
—
NY
Enumeration date
08/11/2006
Last updated
06/10/2011
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