Organization
GRACE HEALTHCARE SOLUTIONS INC
Active
Other names
San Dimas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIH-PING CHEN PHARM D (PRESIDENT/CEO)
(909) 599-8369
Entity
Organization
Contact information
Practice address
1330 W COVINA BLVD STE 100, SAN DIMAS, CA 91773-3200
(909) 599-8369
(909) 599-8360
Mailing address
1330 W COVINA BLVD, STE 100, SAN DIMAS, CA 91773
(909) 599-8369
(909) 599-8360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649215179
—
CA
01
—
PHY57952
BOARD OF PHARMACY
CA
Enumeration date
06/18/2006
Last updated
02/14/2022
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