| NPI | 1457787921 |
|---|---|
| Doing Business As | GRACE MEDICAL PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | MUYIWA JOHN SULE Pharmacist/President 248-346-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010188) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2022-06-08 |