Grand Avenue Pharmacy INC

NPI #1760424055 in Maspeth, New York

Provider Information

NPI Number
1760424055
Entity Type
Organization
Organization Name
Grand Avenue Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 12, 2006
Last Updated
Apr 16, 2015

Practice Location

Address
69 29 GRAND AVE
ZIP Code
11378-1895
Phone
(718) 898-6882

Authorized Official

Name
ANTHONY TERRACCIANO
Title
PRESIDENT SUP RPH
Phone
(718) 898-6882

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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