Organization
BROADWAY CARE INC.
Active
Other names
Broadway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NOREEN IKRAM OWNER (OWNER)
(718) 495-1122
Entity
Organization
Contact information
Practice address
1538 PITKIN AVE., BROOKLYN, NY 11212
(718) 495-1122
(718) 495-0022
Mailing address
1538 PITKIN AVE., BROOKLYN, NY 11212
(718) 495-1122
(718) 495-0022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04522538
—
NY
01
—
2160081
PK
—
Enumeration date
01/19/2016
Last updated
03/20/2024
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