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Organization

BROADWAY PHARMACY INC.

Active
Other names
Broadway Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AVELINO JESUS AVELENDA R.PH. (OWNER/PRESIDENT/RPIC)
(201) 766-9300
Entity
Organization

Contact information

Practice address
7211 BROADWAY, NORTH BERGEN, NJ 07047-5736
(201) 766-9300
(201) 766-9298
Mailing address
7211 BROADWAY, NORTH BERGEN, NJ 07047-5736
(201) 766-9300
(201) 766-9298

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00749800
NJ

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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