NPI | 1396498697 |
---|---|
Doing Business As | PHARMACY OF GRACE |
Entity Type | Organization |
Authorized Contact | MICHAEL CRAIG FINK Pharmacist In Charge 913-244-9409 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2022-01-27 |
Last Update Date | 2022-11-28 |