Organization
TOWN DRUG AT BROADWAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE PAGANO RPH (VP)
(212) 304-9582
Entity
Organization
Contact information
Practice address
4764 BROADWAY, NEW YORK, NY 10034-4916
(212) 304-9582
(212) 304-9713
Mailing address
4785 BROADWAY, NEW YORK, NY 10034
(212) 304-9582
(212) 304-9713
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01622302
—
NY
Enumeration date
10/17/2006
Last updated
03/28/2023
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