Individual
GRACE MORDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7143 KNIGHTDALE BLVD, KNIGHTDALE, NC 27545-9266
(919) 266-7167
Mailing address
4437 STONY FALLS WAY #182, KNIGHTDALE, NC 27545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025872A
IN
Other
Enumeration date
10/24/2014
Last updated
05/10/2023
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