# GRAND PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982212635
- **Authorized official:** BEHROUZ HOGHOUGHI (OWNER)
- **Authorized official phone:** (312) 622-2156

## Contact information

- **Practice address:** 229 W GRAND AVE STE F, BENSENVILLE, IL 60106-3365
- **Practice address phone:** (630) 422-3162
- **Practice address fax:** (630) 422-1927
- **Mailing address:** 229 W GRAND AVE STE F, BENSENVILLE, IL 60106-3365
- **Mailing address phone:** (630) 422-3162
- **Mailing address fax:** (630) 422-1927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 07/20/2020