Organization
CEDRA PHARMACY BROADWAY LLC
Active
Other names
Cedra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN KARNABY (CEO)
(917) 836-8886
Entity
Organization
Contact information
Practice address
2268 BROADWAY, NEW YORK, NY 10024-5403
(212) 877-5000
(212) 877-5002
Mailing address
724 ELTON AVE, BRONX, NY 10455-1687
(917) 836-8886
(212) 877-5002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165971
PK
—
Enumeration date
10/28/2016
Last updated
10/25/2023
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