Grace Pharmacy And Wellness LLC
Pharmacy, Community/Retail Pharmacy in Tucker, GA. Organization (NPI-2).
NPI number1982243499
StatusActive
Last updated in NPPESDec 31, 2019
Details
- NPI
- 1982243499
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Pharmacy And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2019
- Certification date
- Dec 31, 2019
- Last updated
- Dec 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
4404 Hugh Howell Rd Ste 17Tucker, GA 30084-4916
Phone 470-508-0555
Mailing address
913 Autumn Path WaySnellville, GA 30078-7752
Phone 470-508-0555
Authorized official
Gabriel Nwachukwu Aligwekwe
Owner / Pharmacist In Charge
4705080555
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