Organization
AGRACE LLC
Active
Other names
Agrace Pharma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADISESHU GELLI (PRESIDENT)
(833) 224-7223
Entity
Organization
Contact information
Practice address
721 W TARRANT RD STE 110, GRAND PRAIRIE, TX 75050-3445
(833) 224-7223
(469) 986-1180
Mailing address
721 W TARRANT RD STE 110, GRAND PRAIRIE, TX 75050-3445
(833) 224-7223
(469) 986-1180
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
10/18/2021
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