Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVINE GRACE PHARMACY LLC
Active OrganizationDIVINE GRACE PHARMACY LLC is a Pharmacist Clinician (PhC) organization located in DIANA, Texas. NPI 1164086245 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · DIANA, TX
Registration Details
- NPI Number
- 1164086245
- Provider Type
- Organization
- NPI Issued
- Apr 24, 2019 (7.1285869734622 yrs)
- Last Updated
- Apr 24, 2019
Practice Information
- Address
-
1970 US HIGHWAY 259 S # 100DIANA, TX, 756404037Browse TX providers · Browse ZIP 75640
- Phone
- 4306252600
- Fax
- 4306252600
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.