Organization
GRACE COMMUNITY HEALTH CENTER INC
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Grace Health Pharmacy-Manchester
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Authorized official
DR. DAVID CASEY WHITTAKER PHARMD (DIRECTOR OF PHARMACY)
(606) 526-9005
Entity
Organization
Contact information
Practice address
85 HIGHWAY 80, MANCHESTER, KY 40962
(606) 596-0410
Mailing address
85 HIGHWAY 80, MANCHESTER, KY 40962
(606) 596-0410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100592610
—
KY
01
—
P08030
PHARMACY LICENSE
KY
Enumeration date
01/14/2019
Last updated
07/21/2025
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