Organization
GRACE
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Grace Health Pharmacy-Medical Campus
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
14662 N US HIGHWAY 25 E, CORBIN, KY 40701
(606) 526-9005
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701
(606) 526-9005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100895080
—
KY
01
—
P08256
PHARMACY LICENSE
KY
Enumeration date
09/19/2022
Last updated
07/21/2025
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