Individual
MR. GRADY LOY PACE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1806 WATER ST, LECOMPTE, LA 71346
(318) 776-5646
(318) 776-9212
Mailing address
515 HARTWOOD DR, ALEXANDRIA, LA 71303-3426
(318) 473-0924
(318) 473-2772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9125
LA
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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