| NPI | 1992139711 |
|---|---|
| Doing Business As | GRACE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | EDDIE D O'BANNON Owner 901-262-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |