| NPI | 1205688710 |
|---|---|
| Doing Business As | GRACE HEALTH - COLLEGE STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PETER S CHANG President / CEO 269-965-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-08-26 |