Organization
VMC GRACE LLC
Active
Other names
Gateway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MANKARIOUS RPH (OWNER, PIC, AO)
(682) 234-2309
Entity
Organization
Contact information
Practice address
921 FM 1187 E STE A, CROWLEY, TX 76036-4364
(817) 297-2000
(817) 297-2010
Mailing address
921 FM 1187 E STE A, CROWLEY, TX 76036-4364
(817) 297-2000
(817) 297-2010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149489
—
TX
01
—
2159724
PK
—
Enumeration date
04/22/2016
Last updated
09/19/2025
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