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Organization
BROAD PHARMACY 1 LLC
Active
Organization
BROAD PHARMACY 1 LLC
Active
Other names
Broad Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG KANG (PRESIDENT)
(201) 313-0111
Entity
Organization
Contact information
Practice address
17 BROAD AVE # 1, PALISADES PARK, NJ 07650-1403
(201) 313-0111
Mailing address
17 BROAD AVE # 1, PALISADES PARK, NJ 07650-1403
(201) 313-0111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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