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Organization
GRANDHI LLC
Active
Organization
GRANDHI LLC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA KUMAR NAGA VENKATA JAKKA (PHARMACY MANAGER)
(904) 314-2276
Entity
Organization
Contact information
Practice address
15 CORPORATE DR STE 1-1, TRUMBULL, CT 06611-1351
(203) 590-3737
(203) 590-3738
Mailing address
15 CORPORATE DR STE 1-1, TRUMBULL, CT 06611-1351
(203) 590-3737
(203) 590-3738
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008065320
—
CT
Enumeration date
08/17/2022
Last updated
08/17/2022
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