Broadway Remedies Corp.

NPI #1992174619 in Woodmere, New York

Provider Information

NPI Number: 1992174619
Entity Type: Organization
Organization Name: Broadway Remedies Corp.
Primary Specialty: Pharmacy
Enumeration Date: Sep 23, 2015
Last Updated: May 5, 2016

Practice Location

Address: 1034 BROADWAY
City: Woodmere
State: New York
ZIP Code: 11598
Phone: (516) 295-6070

Authorized Official

Name: DR. DEVORAH ROTH, PHARMD.
Title: SUPERVISING PHARMACIST
Phone: (516) 295-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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