| NPI | 1255592457 |
|---|---|
| Doing Business As | GRASSY SPRAIN LONGTERM CARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CIARLETTA Vice President 800-547-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 029024) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-04-24 |