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Braddock Pharmacy LLC

NPI #1801260617 in Bellerose, New York

Provider Information

NPI Number
1801260617
Entity Type
Organization
Organization Name
Braddock Pharmacy LLC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Nov 17, 2015
Last Updated
Nov 17, 2015

Practice Location

Address
236-01A BRADDOCK AVE.
City
Bellerose
State
New York
ZIP Code
11426
Phone
(718) 347-1516

Authorized Official

Name
DIPESH SHAH
Title
OWNER
Phone
(718) 347-1516

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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