Organization
CENTURY GRAND INC
Active
Other names
26 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YANYU LIU (PRESIDENT)
(212) 925-3838
Entity
Organization
Contact information
Practice address
26 E BROADWAY, NEW YORK, NY 10002-6817
(212) 925-3838
(212) 925-3833
Mailing address
26 E BROADWAY, NEW YORK, NY 10002-6817
(212) 925-3838
(212) 925-3833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03318678
—
NY
01
—
5801748
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/21/2010
Last updated
02/14/2023
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