Organization
GRAND AVE PHARMACY
Active
Organization
GRAND AVE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ADLAKHA (PHARMACY MANAGER)
(512) 377-1999
Entity
Organization
Contact information
Practice address
1615 GRAND AVENUE PKWY, SUITE 104, PFLUGERVILLE, TX 78660-2059
(512) 377-1999
Mailing address
1615 GRAND AVENUE PKWY, SUITE 104, PFLUGERVILLE, TX 78660-2059
(512) 377-1999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55334
TX
3336C0004X
Compounding Pharmacy
55334
TX
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up