Organization
BROADALBIN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B JULIUS (PRESIDENT)
(518) 883-3333
Entity
Organization
Contact information
Practice address
6 N MAIN ST, BROADALBIN, NY 12025
(518) 883-8333
Mailing address
PO BOX 249, BROADALBIN, NY 12025-0249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01104489
—
NY
Enumeration date
05/25/2007
Last updated
06/07/2010
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