| NPI | 1992023352 |
|---|---|
| Doing Business As | GRAND CONCOURSE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHABBIR President 718-901-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030089) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2012-03-28 |