Broad Pharmacy, Inc.
Community/Retail Pharmacy
17 Broad Ave, Palisades Park
New Jersey, 07650-1403
201-313-0111 201-313-0577
Broad Pharmacy, Inc. is not a DME supplier for medicare equipments and products.
Broad Pharmacy, Inc. is a Community/Retail Pharmacy in Palisades Park, New Jersey. It is located at 17 Broad Ave, Palisades Park and it's customer support contact number is 201-313-0111. The authorized person of Broad Pharmacy, Inc. is Mr. Mun-hyuk Kwon, R.PH. who is President of the pharmacy and his contact number is 201-313-0111. Active license number of Broad Pharmacy, Inc. is 28RS00536800 for Community/Retail Pharmacy in New Jersey.
Broad Pharmacy, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Broad Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Broad Pharmacy, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 17 Broad Ave, Palisades Park, New Jersey, 07650-1403 |
| Phone: | 201-313-0111 |
| Fax: | 201-313-0577 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Mun-hyuk Kwon |
| Credentials: | R.PH. |
| Position: | President |
| Contact Number: | 201-313-0111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1548358823 |
| NPI Enumeration Date: | 11 Oct, 2006 |
| NPI Last Update On: | 07 Jan, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broad Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS00536800 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7122802 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 17 Broad Ave, Palisades Park, New Jersey |
| Zip: | 07650-1403 |
| Phone Number: | 201-313-0111 |
| Fax Number: | 201-313-0577 |
Patients can reach Broad Pharmacy, Inc. at
17 Broad Ave, Palisades Park, New Jersey or can
call on customer care at 201-313-0111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.