3890 BROADWAY PHARMACY IV, INC. is a pharmacy in New York, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. 3890 BROADWAY PHARMACY IV, INC. NPI is 1790766103. The provider is registered as an organization entity type.
The provider's business location address is:
3898 BROADWAY
NEW YORK, NY
ZIP 10032
Phone: (212) 568-0975
Fax: (212) 568-0976
The provider's authorized official is Haydee Meregildo .
The authorized official title is Owner and has the following contact phone number (212) 568-0975.
The enumeration date for this NPI number is 11/11/2005 and was last updated on 9/15/2008.