Gracie Brooks, R.PH. Valid NPI

Individual provider · Pharmacist · White City, OR

NPI

1174751317

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

RPH011086 (OR)

Sex

Female

Sole proprietor

Yes

Enumerated

2009-06-25

Last updated

2009-06-25