| NPI | 1417328436 |
|---|---|
| Doing Business As | UNIVERSAL GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NOFAL CHOLAG Owner, PIC, AO 586-999-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010751) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-01-12 |