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Organization
BROADWAY CARE PHARMACY LLC
Active
Organization
BROADWAY CARE PHARMACY LLC
Active
Other names
Broadway Care Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MOSSAD (OWNER, AO)
(201) 437-5100
Entity
Organization
Contact information
Practice address
516 BROADWAY, BAYONNE, NJ 07002-3712
(201) 437-5100
(201) 437-6100
Mailing address
516 BROADWAY, BAYONNE, NJ 07002-3712
(201) 437-5100
(201) 437-6100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00754300
NJ
Other
Enumeration date
01/31/2017
Last updated
07/19/2018
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