Organization
BROAD ST PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREEN BADER (OWNER)
(973) 851-1367
Entity
Organization
Contact information
Practice address
1285 BROAD ST STE 3, BLOOMFIELD, NJ 07003-3045
(973) 893-5957
(973) 893-5937
Mailing address
1285 BROAD ST STE 3, BLOOMFIELD, NJ 07003-3045
(973) 893-5957
(973) 893-5937
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
09/05/2023
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