Organization
BROADWAY DOWNTOWN PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA CHAN (PRESIDENT)
(212) 925-4888
Entity
Organization
Contact information
Practice address
373 BROADWAY, NEW YORK, NY 10013-3926
(212) 925-4888
(212) 925-4917
Mailing address
373 BROADWAY, NEW YORK, NY 10013-3926
(212) 925-4888
(212) 925-4917
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01539697
—
NY
Enumeration date
09/26/2006
Last updated
02/07/2011
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