| NPI | 1386816205 |
|---|---|
| Doing Business As | GRANT LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BEATLE TRAN CEO/Pharmacist 209-832-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48989) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2018-07-19 |