# VMC GRACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497668917
- **Authorized official:** MRS. MAGGIE MANKARIOUS (PHARMACIST)
- **Authorized official phone:** (817) 297-2000

## Contact information

- **Practice address:** 921 E FM 1187 STE A, CROWLEY, TX 76036-4364
- **Practice address phone:** (817) 297-2000
- **Mailing address:** 921 E FM 1187 STE A, CROWLEY, TX 76036-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2026
- **Last updated:** 09/25/2026