Organization
GRANDHI LLC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAGA VENKATA KRISHNA KUMAR JAKKA RPH (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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002335
CT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159795
PK
—
Enumeration date
04/25/2016
Last updated
02/19/2025
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