Organization
BROADWAY PHARMACY NYC INC
Active
Other names
Broadway Pharmacy NYC Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NASEER AHMAD (SUPERVISING PHARMACIST)
(212) 942-1234
Entity
Organization
Contact information
Practice address
4740 BROADWAY, NEW YORK, NY 10040-1032
(212) 942-1234
(212) 942-1221
Mailing address
4740 BROADWAY, NEW YORK, NY 10040-1032
(212) 942-1234
(212) 942-1221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03167902
—
NY
01
—
3362112
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/04/2009
Last updated
10/07/2010
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