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Contact Information

GRAND ISLAND PHARMACY, INC.
1728 GRAND ISLAND BLVD
GRAND ISLAND, NY14072
 Phone: 716-773-5665
 Fax: 716-773-5665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRAND ISLAND PHARMACY, INC.

NPI Number 1689894909
LBN Legal business name GRAND ISLAND PHARMACY, INC.
Authorized official RYAN LAVARNWAY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2007
Last updated 08/11/2022 - About 4 years ago
Identifiers
NY License # 028339
NY Medicaid 02916329
Other 3353911 NCPDP NUMBER
NY Other 028339 STATE REGISTRATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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