Active NPIOrganization

Broad Pharmacy 1 LLC

Pharmacy, Community/Retail Pharmacy in Palisades Park, New Jersey

NPI Number1437935632
Practice location
17 Broad Ave # 1, Palisades Park, NJ 07650-1403
Fax
—
Last updated
September 4, 2023

Broad Pharmacy 1 LLC is a healthcare organization based in Palisades Park, NJ. Broad Pharmacy 1 LLC practices in Palisades Park, NJ. The NPI Number for Broad Pharmacy 1 LLC is 1437935632. The current practice location address for Broad Pharmacy 1 LLC is 17 Broad Ave # 1, Palisades Park, NJ 07650-1403 and can be reached out via phone at 201-313-0111.

Provider Profile Details

NPI Number
1437935632
Provider Name
Broad Pharmacy 1 LLC
Provider Entity Type
Organization
Address
17 Broad Ave # 1, Palisades Park, NJ 07650-1403
Phone Number
201-313-0111
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Young Kang · President · 201-313-0111
Other Names
Broad Pharmacy (Doing Business As)
Provider Enumeration Date
September 4, 2023
Last Update Date
September 4, 2023
Certification Date
September 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Broad Ave # 1
Palisades Park, NJ 07650-1403
Zip
07650-1403
Phone Number
201-313-0111
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
17 Broad Ave # 1
Palisades Park, NJ 07650-1403
City
Palisades Park
State
NJ
Zip
07650-1403
Phone Number
201-313-0111

License Information

Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Broad Pharmacy 1 LLC?

The NPI number of Broad Pharmacy 1 LLC is 1437935632. It was assigned on September 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Broad Pharmacy 1 LLC?

Broad Pharmacy 1 LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does Broad Pharmacy 1 LLC practice?

The practice location is 17 Broad Ave # 1, Palisades Park, NJ 07650-1403. The office can be reached at 201-313-0111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437935632 directly on the NPPES registry website.

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