Broad Pharmacy, INC.
Pharmacy, Community/Retail Pharmacy in Palisades Park, New Jersey
1548358823- Practice location
- 17 Broad Ave, Palisades Park, NJ 07650-1403
- Phone
- 201-313-0111
- Fax
- 201-313-0577
- Last updated
- January 7, 2009
Broad Pharmacy, INC. is a healthcare organization based in Palisades Park, NJ. Broad Pharmacy, INC. practices in Palisades Park, NJ. The NPI Number for Broad Pharmacy, INC. is 1548358823 and holds a License No. 28rs00536800 (NJ). The current practice location address for Broad Pharmacy, INC. is 17 Broad Ave, Palisades Park, NJ 07650-1403 and can be reached out via phone at 201-313-0111 and via fax at 201-313-0577.
Provider Profile Details
- NPI Number
- 1548358823
- Provider Name
- Broad Pharmacy, INC.
- Provider Entity Type
- Organization
- Address
- 17 Broad Ave, Palisades Park, NJ 07650-1403
- Phone Number
- 201-313-0111
- Fax Number
- 201-313-0577
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Mr. Mun-Hyuk Kwon, RPH · President · 201-313-0111
- Provider Enumeration Date
- October 11, 2006
- Last Update Date
- January 7, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Broad Ave
Palisades Park, NJ 07650-1403 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-1403
- Phone Number
- 201-313-0111
- Fax Number
- 201-313-0577
Provider Business Mailing Address Details
- Address
- 17 Broad Ave
Palisades Park, NJ 07650-1403 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-1403
- Phone Number
- 201-313-0111
- Fax Number
- 201-313-0577
License Information
- License Number
- 28rs00536800
- License State
- NJ
- Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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, INC.?
The NPI number of Broad Pharmacy, INC. is 1548358823. It was assigned on October 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Broad Pharmacy, INC.?
Broad Pharmacy, INC. is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28rs00536800.
Where does Broad Pharmacy, INC. practice?
The practice location is 17 Broad Ave, Palisades Park, NJ 07650-1403. The office can be reached at 201-313-0111 (phone) or 201-313-0577 (fax).
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 1548358823 directly on the NPPES registry website.