Organization
GRACEE PHARMACY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH OKOH RPH (PIC)
(313) 733-4523
Entity
Organization
Contact information
Practice address
11825 WOODWARD AVE, HIGHLAND PARK, MI 48203-3575
(313) 733-4523
(313) 305-7375
Mailing address
11825 WOODWARD AVE, HIGHLAND PARK, MI 48203-3575
(313) 733-4523
(313) 305-7375
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011430
MI
Other
Enumeration date
07/24/2018
Last updated
01/24/2021
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