Individual
MISS ALEXANDRA L BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1471 BROADWAY, NEW YORK, NY 10036-6560
(212) 302-0552
Mailing address
508 E 78TH ST APT 6I, NEW YORK, NY 10075-8839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054349
NY
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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