Organization
GRAND AVE CHEMISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER BURBANO (PRESIDENT)
(347) 374-7840
Entity
Organization
Contact information
Practice address
7201 GRAND AVE, MASPETH, NY 11378-1560
(845) 584-3317
(929) 463-7139
Mailing address
7201 GRAND AVE, MASPETH, NY 11378-1560
(845) 584-3317
(929) 463-7139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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