Broad Pharmacy, Inc.

LBN: Broad Pharmacy, Inc.
Broad Pharmacy, Inc. is an health care organization with primary practice located at 17 Broad Ave , Palisades Park NJ 07650-1403. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Broad Pharmacy, Inc. can be contacted via phone (201) 313-0111, or through Kwon, Mun-Hyuk via phone (201) 313-0111.

Contact Information

Primary practice address
17 Broad Ave Palisades Park NJ 07650-1403
Phone: (201) 313-0111
Fax: (201) 313-0577
Website:
Map and Directions
Authorized official contact:
Name: Kwon, Mun-Hyuk R.PH.
Phone: (201) 313-0111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00536800 New Jersey

Profile Details

NPI number 1548358823
LBN Legal business name Broad Pharmacy, Inc.
DBA Doing business as
Authorized official Kwon, Mun-Hyuk R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 7th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548358823 NPPES
New Jersey MEDICAID 7122802

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