NPI | 1932619707 |
---|---|
Doing Business As | GRACE PHARMACY |
Entity Type | Organization |
Authorized Contact | YURY ISAKOV President 718-426-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035796) |
Enumeration Date | 2017-10-06 |
Last Update Date | 2017-10-06 |