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Organization
GRAND PHARMACY LLC
Active
Organization
GRAND PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROUZ HOGHOUGHI (OWNER)
(312) 622-2156
Entity
Organization
Contact information
Practice address
229 W GRAND AVE STE F, BENSENVILLE, IL 60106-3365
(630) 422-3162
(630) 422-1927
Mailing address
229 W GRAND AVE STE F, BENSENVILLE, IL 60106-3365
(630) 422-3162
(630) 422-1927
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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