<Unavail>

LBN: Agrace Llc
<Unavail> is an health care organization with primary practice located at 721 W Tarrant Rd Ste 110 , Grand Prairie TX 75050-3445. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Agrace Llc can be contacted via phone (833) 224-7223, or through Gelli, Adiseshu via phone (833) 224-7223.

Contact Information

Primary practice address
721 W Tarrant Rd Ste 110 Grand Prairie TX 75050-3445
Phone: (833) 224-7223
Fax: (214) 412-2405
Website:
Map and Directions
Authorized official contact:
Name: Gelli, Adiseshu
Phone: (833) 224-7223

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28456 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1639436561
LBN Legal business name Agrace Llc
DBA Doing business as <Unavail>
Authorized official Gelli, Adiseshu
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2012
Last updated Feb 5th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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