NPI | 1366086126 |
---|---|
Doing Business As | GRACE COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | GRACE ANN PINILI BENET Pharmacist, Owner 386-237-1821 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2019-11-04 |
Last Update Date | 2020-10-05 |