| NPI | 1952630790 |
|---|---|
| Doing Business As | GRACELINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA OKPUZOR Owner/PIC 832-758-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2011-05-09 |