Organization
GRAND RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENTSION ISAACOV (PRESIDENT)
(718) 641-2000
Entity
Organization
Contact information
Practice address
10621 97TH ST, OZONE PARK, NY 11417-2101
(718) 641-2000
(718) 843-0200
Mailing address
10621 97TH ST, OZONE PARK, NY 11417-2101
(718) 641-2000
(718) 843-0200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
035612
NY
3336C0003X
Community/Retail Pharmacy
Primary
035612
NY
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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