Organization
GRAND PKWY PHCY AND MED SUPL LLC
Active
Other names
GRAND PARKWAY PHARMACY AND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
UCHY EGBUCHEENAM (PARTNER)
(713) 724-2622
Entity
Organization
Contact information
Practice address
11965 BISSONNET ST, HOUSTON, TX 77099-1464
(281) 495-5777
(281) 495-5779
Mailing address
11965 BISSONNET ST, HOUSTON, TX 77099-1464
(281) 495-5777
(281) 495-5779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145638
—
TX
01
—
2098947
PK
—
Enumeration date
07/22/2006
Last updated
09/19/2025
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