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General NPI Number Information
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NPI Number | 1538006291
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Entity Type | Organization
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Legal Business Name | GRACE PHARMACY
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 546 PARKERS MILL RD UNIT B
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City | SOMERSET
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State | KY
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Zip | 42501-3154
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Country | US
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Telephone | 606-416-5416
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Fax | 606-416-5042
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Provider Business Mailing Address
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Address Line | 546 PARKERS MILL RD UNIT B
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City | SOMERSET
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State | KY
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Zip | 42501-3154
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Country | US
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Telephone | 606-416-5416
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Fax | 606-416-5042
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES ARTHUR STATON IV
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Credential | PHARMD
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Telephone | 606-306-1248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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