| NPI | 1861960858 |
|---|---|
| Doing Business As | GRAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EKIMA SAMPSON Pharmacist In Charge 346-701-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-02-11 |