DIVINE GRACE PHARMACY LLC is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Diana, TX. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DIVINE GRACE PHARMACY LLC NPI is 1164086245. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1970 US HIGHWAY 259 S # 100
DIANA, TX
ZIP 75640-037
Phone: (430) 625-2600
Fax: (430) 625-2600
The provider's authorized official is Grace T Gbadamosi .
The authorized official title is Owner/pharmacist and has the following contact phone number (430) 630-2600.
The CLIA number assigned to this NPI record is 45D2185942 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.