Broadway Pharmacy Inc.

NPI #1447703236 in North Bergen, New Jersey

Provider Information

NPI Number
1447703236
Entity Type
Organization
Organization Name
Broadway Pharmacy Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 27, 2016
Last Updated
Jul 27, 2016

Practice Location

Address
7211 BROADWAY
ZIP Code
07047-5736
Phone
(201) 766-9300

Authorized Official

Name
MR. AVELINO JESUS AVELENDA, R.PH.
Title
OWNER/PRESIDENT/RPIC
Phone
(201) 766-9300

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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