New Grace Pharmacy Llc

LBN: New Grace Pharmacy Llc
New Grace Pharmacy Llc is an health care organization with primary practice located at 10 Grace Ave , Great Neck NY 11021-2447. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. New Grace Pharmacy Llc can be contacted via phone (516) 472-7688, or through Yakubov, Eduard via phone (516) 472-7688.

Contact Information

Primary practice address
10 Grace Ave Great Neck NY 11021-2447
Phone: (516) 472-7688
Fax: (516) 717-4199
Website:
Map and Directions
Authorized official contact:
Name: Yakubov, Eduard PHARM D
Phone: (516) 472-7688

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X New York

Profile Details

NPI number 1851820740
LBN Legal business name New Grace Pharmacy Llc
DBA Doing business as
Authorized official Yakubov, Eduard PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2017
Last updated Jan 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851820740 NPPES
New York MEDICAID 05082733

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