| NPI | 1871126649 |
|---|---|
| Doing Business As | NEW GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ZHANNA SHIMONOVA Owner 718-480-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-07-29 |