Organization
GRAND RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVRIEL ISKHAKBAYEV (OWNER)
(516) 208-8120
Entity
Organization
Contact information
Practice address
2378 GRAND AVE, BALDWIN, NY 11510-3111
(516) 208-8120
(516) 208-8119
Mailing address
2378 GRAND AVE, BALDWIN, NY 11510-3111
(516) 208-8120
(516) 208-8119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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