Broadway Care Pharmacy Llc

LBN: Broadway Care Pharmacy Llc
Broadway Care Pharmacy Llc is an health care organization with primary practice located at 516 Broadway , Bayonne NJ 07002-3712. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broadway Care Pharmacy Llc can be contacted via phone (201) 437-5100, or through Mossad, Edward via phone (201) 437-5100.

Contact Information

Primary practice address
516 Broadway Bayonne NJ 07002-3712
Phone: (201) 437-5100
Fax: (201) 437-6100
Website:
Map and Directions
Authorized official contact:
Name: Mossad, Edward
Phone: (201) 437-5100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00754300 New Jersey

Profile Details

NPI number 1528505351
LBN Legal business name Broadway Care Pharmacy Llc
DBA Doing business as Broadway Care Pharmacy Llc
Authorized official Mossad, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2017
Last updated Jul 19th, 2018 - about 8 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 1528505351 NPPES
New Jersey MEDICAID 0599174
New Jersey Other 2167560

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