Organization
27 BROADWAY DRUGS INC
Active
Other names
SUBA PHARMACEUTICAL PHARMACY, SUBA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BASHIR SUBA RPH (SUPERVISING PHARMACIST)
(212) 866-6700
Entity
Organization
Contact information
Practice address
7 STRAWTOWN RD, WEST NYACK, NY 10994-1813
(212) 866-6700
(212) 866-7129
Mailing address
7 STRAWTOWN RD, WEST NYACK, NY 10994-1813
(212) 866-6700
(212) 866-7129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2061962
PK
—
Enumeration date
02/08/2007
Last updated
10/23/2023
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