3890 BROADWAY PHARMACY IV, INC.
Pharmacy at Broadway, New York, NY

License number
New York 027458
Category
Suppliers
Type
Pharmacy
Owner
Name: MRS. HAYDEE MEREGILDO
Title: OWNER
Phone: (212) 568-0975
Address
Address
3898 Broadway, New York, NY 10032
National Provider ID: 1790766103
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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3890 BROADWAY PHARMACY IV, INC

New York, NY

Status:
Inactive
Industry:
Ret Drugs/Sundries
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
May 3, 2005
Inactive since:
Oct 26, 2011
Addresses:
3890 Broadway, New York, NY 10032 (Physical)
3898 Broadway, New York, NY 10032
State ID:
3199686
Business type:
DOMESTIC BUSINESS CORPORATION
Presidents:
Haydee Meregildo (Owner),Robel Hernandez President, inactive

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