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Organization
VMC GRACE LLC
Active
Organization
VMC GRACE LLC
Active
Other names
Gateway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MANKARIOUS RPH (OWNER, PIC, AO)
(682) 234-2309
Entity
Organization
Contact information
Practice address
921 FM 1187 E STE A, CROWLEY, TX 76036-4364
(817) 297-2000
(817) 297-2010
Mailing address
921 FM 1187 E STE A, CROWLEY, TX 76036-4364
(817) 297-2000
(817) 297-2010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149489
—
TX
01
—
2159724
PK
—
Enumeration date
04/22/2016
Last updated
09/19/2025
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