Organization · Type 2 NPI

Divine Grace Pharmacy LLC

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Diana, TX

NPI number 1164086245 Active

Practice location

1970 US Highway 259 S # 100
Diana, TX 75640-4037

Fax (430) 625-2600

Mailing address

2058 Rosebury Ln
Forney, TX 75126-0917

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XNone listed

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: 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.

Another provider at this address

About NPI 1164086245

Divine Grace Pharmacy LLC's National Provider Identifier is 1164086245, issued on Apr 24, 2019. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Diana, TX. The record was last updated on Apr 24, 2019.