| NPI | 1578130704 |
|---|---|
| Doing Business As | GRACEMED ABLAH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VENUS LEE CEO 316-866-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |