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General NPI Number Information
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NPI Number | 1093732976
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Entity Type | Organization
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Legal Business Name | GRACE PHARMACY LTD.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 491 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-3252
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Country | US
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Telephone | 914-963-3911
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Fax | 914-963-7715
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Provider Business Mailing Address
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Address Line | 491 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-3252
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Country | US
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Telephone | 914-963-3911
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Fax | 914-963-7715
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Authorized Official
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Title or Position | OWNER
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Name | YANIRA ALVARADO
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Credential |
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Telephone | 914-963-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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