Organization
ADLAKHA INVESTMENTS INC
Active
Other names
Grand Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ADLAKHA (OWNER)
(512) 377-1999
Entity
Organization
Contact information
Practice address
1615 GRAND AVENUE PKWY STE 104, PFLUGERVILLE, TX 78660
(512) 377-1999
(512) 252-2662
Mailing address
1615 GRAND AVENUE PKWY STE 104, PFLUGERVILLE, TX 78660-2060
(512) 377-1999
(512) 252-2662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28813
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
28813
TX
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28813
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
28813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146851
—
TX
01
—
2142535
PK
—
Enumeration date
09/27/2013
Last updated
05/17/2018
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