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NPI Provider: 1790766103
Contact Name: Meregildo Haydee
Position: Owner
Phone: (212) 568-0975
3890 Broadway Pharmacy Iv, Inc. Information:
3890 Broadway Pharmacy Iv, Inc. organization have npi 1790766103, taxonomy code is 333600000X with license number is 27458 in . This Business address located in 3898 Broadway, New York, NY 10032 New York. Get directions of 3890 Broadway Pharmacy Iv, Inc..
Practice Location
Address: 3898 Broadway, New York, NY 10032
Phone: (212) 568-0975
Business Location
Address: 3898 Broadway, New York, NY 10032
Phone: (212) 568-0975
Fax: (212) 568-0976
Taxonomy
Taxonomy Code: 333600000X
License Number: 27458
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 11/11/2005
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