NPI | 1144303264 |
---|---|
Doing Business As | GRACE PHARMACY |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25283) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2025-05-09 |