BRADDOCK PHARMACY LLC; NPI #1801260617

Contact Information

BRADDOCK PHARMACY LLC

236-01A BRADDOCK AVE.
BELLEROSE, NY 11426

Phone: 718-347-1516
Fax: 718-347-1789
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for BRADDOCK PHARMACY LLC

NPI Number 1801260617

LBN Legal business name BRADDOCK PHARMACY LLC

Authorized official DIPESH SHAH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/17/2015

Last updated 11/17/2015 - About 11 years ago

Identifiers

NY	License #	032318
NY	Other	1497185128	NPI#

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRADDOCK PHARMACY LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for BRADDOCK PHARMACY LLC

Reviews for BRADDOCK PHARMACY LLC