Organization
3890 BROADWAY PHARMACY IV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAYDEE MEREGILDO (OWNER)
(212) 568-0975
Entity
Organization
Contact information
Practice address
3898 BROADWAY, NEW YORK, NY 10032
(212) 568-0975
(212) 568-0976
Mailing address
3898 BROADWAY, NEW YORK, NY 10032
(212) 568-0975
(212) 568-0976
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027458
NY
Other
Enumeration date
11/11/2005
Last updated
09/15/2008
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