| NPI | 1730919754 |
|---|---|
| Doing Business As | GRACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MADLEN BASILYAN President/CEO 818-875-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |