Broad Street Pharma Corp
Broad Street Pharma Corp is a Community/Retail Pharmacy in Staten Island, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
209 Broad StStaten Island, NY 10304-2105
Phone: (347) 464-1533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1396465407 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamal Ali — Manager · (347) 464-1533 |
| Other names | Broad Street Pharmacy |
| NPI enumerated | August 30, 2022 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
| Mailing address | 209 Broad St, Staten Island, NY 10304-2105 |
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