Most Relevant Information
Provider Data
| NPI Number: | 1003461484 |
| Provider Name: | GRACE LE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 36987 |
Most Important Dates
| Enumeration Date: | 08/02/2019 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
275 HOSPITAL PKWY STE 625
SAN JOSE
CA
951191141
Practice Location Phone/Fax
| Phone: | 4082845251 |
| Fax: |
Provider Mailing Location
275 HOSPITAL PKWY STE 625
SAN JOSE
CA
951191141
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |