Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Medical Pharmacy LLC

Organization Pharmacy · NPI 1457787921

Grace Medical Pharmacy LLC is a Pharmacy in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20805 Grand River Ave
Detroit, MI 48219-3919
Phone: (313) 255-2300
Fax: (313) 255-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301010188 (MI)
Pharmacy Taxonomy 333600000X

Record details

NPI number1457787921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muyiwa John Sule — Pharmacist/President · (248) 346-4480
Other names Grace Medical Pharmacy Llc; Grace Medical Pharmacy Llc
NPI enumeratedSeptember 17, 2013
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address20805 Grand River Ave, Detroit, MI 48219-3919

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