Grand Ave Pharmacy

NPI #1972912418 in Pflugerville, Texas

Provider Information

NPI Number
1972912418
Entity Type
Organization
Organization Name
Grand Ave Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 8, 2014
Last Updated
Aug 8, 2014

Practice Location

Address
1615 GRAND AVENUE PKWY
Address 2
SUITE 104
State
Texas
ZIP Code
78660-2059
Phone
(512) 377-1999

Authorized Official

Name
CHRIS ADLAKHA
Title
PHARMACY MANAGER
Phone
(512) 377-1999

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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