Provider Demographics
NPI:1881633295
Name:GRAND PARKWAY PHARMACY & MED. SUPPLY
Entity Type:Organization
Organization Name:GRAND PARKWAY PHARMACY & MED. SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UCHY
Authorized Official - Middle Name:ORAN
Authorized Official - Last Name:EGBUCHUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:281-633-9700
Mailing Address - Street 1:17310 W GRAND PKWY S
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7902
Mailing Address - Country:US
Mailing Address - Phone:281-633-9700
Mailing Address - Fax:281-232-9799
Practice Address - Street 1:17310 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7902
Practice Address - Country:US
Practice Address - Phone:281-633-9700
Practice Address - Fax:281-232-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty