Organization
GRANDHI LLC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA KUMAR NAGA VENKATA JAKKA (PHARMACY 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
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008065320
—
CT
Enumeration date
08/17/2022
Last updated
08/17/2022
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