Organization
GRACE CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL BISE PHARMD (OWNER)
(423) 612-5128
Entity
Organization
Contact information
Practice address
4352 W STONE DR, KINGSPORT, TN 37660-7253
(423) 612-5128
Mailing address
2307 COLONIAL VIEW RD, KINGSPORT, TN 37663-2767
(423) 612-5128
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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