| NPI | 1366893851 |
|---|---|
| Doing Business As | GRAND STREET PHARMACY |
| Doing Business As | NIKKY'S PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | RAMESH GAJJAR Owener 973-898-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00751800) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2022-04-04 |