Provider Demographics
NPI:1821679044
Name:GRATIE, LLC
Entity Type:Organization
Organization Name:GRATIE, LLC
Other - Org Name:KINGSLEY DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:712-490-5810
Mailing Address - Street 1:7 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KINGSLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51028-7751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 W 2ND ST
Practice Address - Street 2:
Practice Address - City:KINGSLEY
Practice Address - State:IA
Practice Address - Zip Code:51028-7751
Practice Address - Country:US
Practice Address - Phone:712-383-3784
Practice Address - Fax:712-383-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy