Organization
HOME PRODUCT EAST ,INC
Active
Other names
BROADWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAN WANG (PRESIDENT)
(718) 803-3005
Entity
Organization
Contact information
Practice address
8808 55TH AVE, ELMHURST, NY 11373-4437
(718) 803-3005
(718) 803-3346
Mailing address
8808 55TH AVE, ELMHURST, NY 11373-4437
(718) 803-3005
(718) 803-3346
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025273
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244360
—
NY
01
—
025273
PHARMACY LICENSE NUMBER
NY
01
—
3324960
NCPDP NUMBER
—
Enumeration date
07/20/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us