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GRACE HEALTH INC NPI 1427337179


NPI Information

NPI: 1427337179
Provider Name: GRACE HEALTH INC

Doing Business As: EASTLAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2213088

Address:
18339 COLIMA RD STE A
STE A
ROWLAND HEIGHTS, CA
ZIP 91748
Phone: (626) 810-1056
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GRACE HEALTH INC is a community/retail pharmacy pharmacy in Rowland Heights, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRACE HEALTH INC NPI is 1427337179. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastland Pharmacy.

The provider's business location address is:

18339 COLIMA RD STE A
STE A
ROWLAND HEIGHTS, CA
ZIP 91748-792
Phone: (626) 810-1056
Fax: (626) 810-4470

The provider's authorized official is Danielle Kim .
The authorized official title is Owner and has the following contact phone number (714) 675-9191.

The CLIA number assigned to this NPI record is 05D2213088 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY52487CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12149936OTHERPK
21427337179MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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