# GRANDHI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Arts Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386362176
- **Authorized official:** KRISHNA KUMAR NAGA VENKATA JAKKA (PHARMACY MANAGER)
- **Authorized official phone:** (904) 314-2276

## Contact information

- **Practice address:** 15 CORPORATE DR STE 1-1, TRUMBULL, CT 06611-1351
- **Practice address phone:** (203) 590-3737
- **Practice address fax:** (203) 590-3738
- **Mailing address:** 15 CORPORATE DR STE 1-1, TRUMBULL, CT 06611-1351
- **Mailing address phone:** (203) 590-3737
- **Mailing address fax:** (203) 590-3738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2022
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008065320 | — | CT |