| NPI | 1053605113 |
|---|---|
| Doing Business As | GRANDBROOK PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | GHULAM MURTAZA President/Sup.Pharmacist 718-484-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030640) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2017-04-19 |