<Unavail>

LBN: Grace Rx Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1724 E Washington Blvd , Pasadena CA 91104-2751. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grace Rx Pharmacy Inc can be contacted via phone (818) 957-5555, or through Basilyan, Madlen via phone (818) 957-5555.

Contact Information

Primary practice address
1724 E Washington Blvd Pasadena CA 91104-2751
Phone: (818) 957-5555
Fax: (818) 957-5551
Website:
Map and Directions
Authorized official contact:
Name: Basilyan, Madlen PHARM D
Phone: (818) 957-5555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295083764
LBN Legal business name Grace Rx Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Basilyan, Madlen PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2012
Last updated Dec 22nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295083764 NPPES
California Other PHY59258 BOARD OF PHARMACY

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