SOUTH BROADWAY PHARMACY NPI 1467770420

NPI Information

SOUTH BROADWAY PHARMACY is a pharmacy in Yonkers, 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. SOUTH BROADWAY PHARMACY NPI is 1467770420. The provider is registered as an organization entity type.

The provider's business location address is:

314 S BROADWAY
YONKERS, NY
ZIP 10705-049
Phone: (914) 965-1000
Fax: (914) 965-1002

The provider's authorized official is Tarek Mansour Saleh .
The authorized official title is Supervising Pharmacist and has the following contact phone number (914) 965-1000.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 10/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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