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3890 Broadway Pharmacy IV, Inc. — NPI 1790766103, New York, NY | NPI Central

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NPI 1790766103

OrganizationActive

3890 Broadway Pharmacy IV, Inc.

NPI 1790766103 · Pharmacy · New York, NY

Provider details

NPI number: 1790766103
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Haydee Meregildo, Owner
License: 027458 (NY)

Practice location

3898 Broadway

New York, NY 10032

Phone: (212) 568-0975

Fax: (212) 568-0976

More NY providers

Mailing address

3898 Broadway

New York, NY 10032

Registry dates

Enumerated: 2005-11-11
Last updated: 2008-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.