# GRAND RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518854165
- **Authorized official:** GAVRIEL ISKHAKBAYEV (OWNER)
- **Authorized official phone:** (516) 208-8120

## Contact information

- **Practice address:** 2378 GRAND AVE, BALDWIN, NY 11510-3111
- **Practice address phone:** (516) 208-8120
- **Practice address fax:** (516) 208-8119
- **Mailing address:** 2378 GRAND AVE, BALDWIN, NY 11510-3111
- **Mailing address phone:** (516) 208-8120
- **Mailing address fax:** (516) 208-8119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2025
- **Last updated:** 06/18/2025