Individual
GRACE SIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8001 LINCOLN AVE, SUITE 800, SKOKIE, IL 60077-3695
(800) 553-7359
Mailing address
8001 NORTH LINCOLN AVE, SUITE 800, SKOKIE, IL 60077
(800) 553-7359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042686
MO
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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