Individual
DR. EDWARD EDMOND GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
15 VILLA RD, APT #182, GREENVILLE, SC 29615
(864) 451-4250
Mailing address
15 VILLA RD, APT #182 APARTMENT 517, SAINT PETERSBURG, SC 29615
(864) 451-4250
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13491
SC
1835P1200X
Pharmacotherapy Pharmacist
1391
SC
1835P1200X
Pharmacotherapy Pharmacist
PS40135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13491
SC BOARD OF PHARMACY
SC
01
—
PS40135
BOARD OF PHARMACY
FL
Enumeration date
08/22/2006
Last updated
03/01/2018
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