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NPI Code Detail

MEDICARE: GRL SERVICES, INC.

MEDICARE: GRL SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1154133981
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRL SERVICES, INC.
Provider Business Mailing Address
First Line : 2126 KNAPP ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5609
Country : US
Telephone Number : 718-332-5474
Fax Number : 718-332-7326
Provider Business Practice Location Address
First Line : 2126 KNAPP ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5609
Country : US
Telephone Number : 718-332-5474
Fax Number : 718-332-7326
Authorized Official
Title or Position : PRESIDENT
Name : LEV MILTER
Credential :
Telephone Number : 718-332-5474
Provider Enumeration Date : 01/20/2025
Last Update Date : 01/20/2025

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