Grace Pharmacy

Restricted

Grace Pharmacy is subject to Restricted. See the individual lists below.

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Aliases

Addresses

Address 1 : 22320 Fisher St., Perris, CA

Address 2 : 8000-A Martin Luther King Hwy Glenarden MD 20706

Address 3 : 2262 Pacific Ave., Long Beach, CA

Address 4 : Highland Park

Address 5 : City :- Highland Park

ID Details

ID NUMBER : 129512124

ID TYPE : npi

ID NUMBER : 5301011430

ID TYPE : License

ID NUMBER : 1295212124

ID TYPE : npi

ID NUMBER : P01877

ID TYPE : LICENSE NO

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Grace Pharmacy Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Suspended and Ineligible Provider List by California Department of Health Care Services	The California Department of Health Care Services	Nov 19, 2002	active
Sanctioned Provider List by Michigan Department of Health and Human Services	The Michigan Department of Health and Human Services	May 31, 2021	active
Medicaid Sanctioned Providers List by Maryland Department of Health (MDH)	The Maryland Department of Health (MDH)	Jan 18, 2002	active