Organization
GRACE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIGOZIE GILBERT OGUH R.PH ((PIC) OWNER)
(915) 593-0603
Entity
Organization
Contact information
Practice address
11140 LA QUINTA PL #101A, EL PASO, TX 79936
(915) 593-0603
(915) 593-3378
Mailing address
11140 LA QUINTA PL #101A, EL PASO, TX 79936
(915) 593-0603
(915) 593-3378
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149185
—
TX
Enumeration date
09/12/2024
Last updated
09/12/2024
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