| NPI | 1568200970 |
|---|---|
| Doing Business As | GRAND PHARMACY LTC AT HOME |
| Entity Type | Organization |
| Authorized Contact | GREGORY GILMORE Pharmacist/Owner 573-822-1896 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |