| NPI | 1902423197 |
|---|---|
| Doing Business As | NEW GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDUARD YAKUBOV Owner 516-472-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2023-05-22 |