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NPI Code Detail

MEDICARE: GRACE MCCRORIE

MEDICARE: GRACE MCCRORIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care Pharmacist33203NC

General Provider Information

NPI Number : 1639034929
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE MCCRORIE
Provider Business Mailing Address
First Line : 9835 MONROE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1471
Country : US
Telephone Number : 704-322-4065
Fax Number :
Provider Business Practice Location Address
First Line : 9835 MONROE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1471
Country : US
Telephone Number : 704-322-4065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ GRACE MCCRORIE ” Practice Location

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