| NPI | 1285131896 |
|---|---|
| Doing Business As | GRACE HEALTH - PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PETER CHANG President/CEO 269-966-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011357) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-07-27 |