Organization
GRACE HEALTH INC
Active
Organization
GRACE HEALTH INC
Active
Other names
Eastland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE KIM PHARMD (OWNER)
(714) 675-9191
Entity
Organization
Contact information
Practice address
18339 COLIMA RD STE A, STE A, ROWLAND HEIGHTS, CA 91748-2792
(626) 810-1056
(626) 810-4470
Mailing address
18339 COLIMA RD STE A, STE A, ROWLAND HEIGHTS, CA 91748-2792
(626) 810-1056
(626) 810-4470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427337179
—
CA
01
—
2149936
PK
—
Enumeration date
08/12/2011
Last updated
09/19/2025
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