Organization
GRACE PHARMACY
Active
Parent organization
GRACE PHARMACY
Other names
Grace Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE PHARMACY
Authorized official
DR. JAMES ARTHUR STATON IV PHARMD (OWNER)
(606) 306-1248
Entity
Organization
Contact information
Practice address
546 PARKERS MILL RD UNIT B, SOMERSET, KY 42501-3154
(606) 416-5416
(606) 416-5042
Mailing address
546 PARKERS MILL RD UNIT B, SOMERSET, KY 42501-3154
(606) 416-5416
(606) 416-5042
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DFGWR000
HEALTH INDUSTRY NUMBER
—
Enumeration date
04/30/2026
Last updated
04/30/2026
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