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 |