Organization
BROADWAY PHARMACY III INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN PEREZ (PRESIDENT)
(212) 927-0999
Entity
Organization
Contact information
Practice address
629 W 185TH ST, NEW YORK, NY 10033-3102
(212) 927-0999
(212) 568-6759
Mailing address
629 W 185TH ST, NEW YORK, NY 10033-3102
(212) 927-0999
(212) 568-6759
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682915
—
NY
Enumeration date
05/22/2007
Last updated
04/14/2025
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