Provider Demographics
NPI:1326407321
Name:2310 BROAD STREET LLC
Entity Type:Organization
Organization Name:2310 BROAD STREET LLC
Other - Org Name:CURE DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:VEKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-223-5700
Mailing Address - Street 1:2310 N BROAD ST SPC A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-4565
Mailing Address - Country:US
Mailing Address - Phone:215-223-5700
Mailing Address - Fax:215-223-5900
Practice Address - Street 1:2310 N BROAD ST SPC A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-4565
Practice Address - Country:US
Practice Address - Phone:215-223-5700
Practice Address - Fax:215-223-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4823403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy