Organization
GRANT PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRADEEP MUKERJEA (OWNER)
(718) 588-3304
Entity
Organization
Contact information
Practice address
1340 EDWARD GRANT HWY, BRONX, NY 10452
(718) 588-3304
(718) 588-2318
Mailing address
1340 EDWARD GRANT HWY, BRONX, NY 10452
(718) 588-3304
(718) 588-2318
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02225712
—
NY
Enumeration date
02/26/2007
Last updated
08/22/2020
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