| NPI | 1083936496 |
|---|---|
| Doing Business As | HIS GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BOLAJI ADISA Owner 407-963-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24483) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2017-02-20 |