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General NPI Number Information
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NPI Number | 1134099047
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Entity Type | Organization
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Legal Business Name | PHARMACY OF GRACE INC.
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 11644 W 75TH ST STE 104
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City | SHAWNEE
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State | KS
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Zip | 66214-1300
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Country | US
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Telephone | 913-953-8260
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Fax | 913-953-8268
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Provider Business Mailing Address
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Address Line | 721 N 31ST ST STE 100
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City | KANSAS CITY
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State | KS
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Zip | 66102-3972
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Country | US
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Telephone | 913-953-8260
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Fax | 913-953-8268
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Authorized Official
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Title or Position | VP OF CLINICAL OPERATIONS
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Name | MICHAEL CRAIG FINK
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Credential | RPH, PHARM.D.
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Telephone | 913-953-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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