Organization
BROADWAY REMEDIES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVORAH ROTH PHARMD. (SUPERVISING PHARMACIST)
(516) 295-6070
Entity
Organization
Contact information
Practice address
1034 BROADWAY, WOODMERE, NY 11598
(516) 295-6070
(516) 295-6071
Mailing address
1034 BROADWAY, WOODMERE, NY 11598
(516) 295-6070
(516) 295-6071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
033842
NY
Other
Enumeration date
09/23/2015
Last updated
05/05/2016
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