| 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 |