| NPI | 1295083764 |
|---|---|
| Doing Business As | GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MADLEN BASILYAN President/CEO 818-957-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-12-22 |