| NPI | 1710303821 |
|---|---|
| Doing Business As | GRANT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA REDDY YANNAM Pharmacy Manager / Pharmacist 718-588-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032731) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-10-06 |