Organization
GRACE COMMUNITY PHARMACY, INC.
Active
Other names
GRACE COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINJUNG K. PARK RPH, PH.D. (PIC)
(562) 860-0586
Entity
Organization
Contact information
Practice address
4881 LA PALMA AVE., LA PALMA, CA 90623
(562) 860-0586
(562) 860-0767
Mailing address
4881 LA PALMA AVE., LA PALMA, CA 90623
(562) 860-0586
(562) 860-0767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801047964
—
CA
Enumeration date
10/08/2008
Last updated
10/31/2022
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