# BROAD PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548358823
- **Authorized official:** MR. MUN-HYUK KWON R.PH. (PRESIDENT)
- **Authorized official phone:** (201) 313-0111

## Contact information

- **Practice address:** 17 BROAD AVE, PALISADES PARK, NJ 07650-1403
- **Practice address phone:** (201) 313-0111
- **Practice address fax:** (201) 313-0577
- **Mailing address:** 17 BROAD AVE, PALISADES PARK, NJ 07650-1403
- **Mailing address phone:** (201) 313-0111
- **Mailing address fax:** (201) 313-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00536800 | NJ | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 01/07/2009