MEDICARE: GRAND PARKWAY PHARMACY & MED. SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist

General Provider Information

NPI Number	:	1881633295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND PARKWAY PHARMACY & MED. SUPPLY

Provider Business Mailing Address
First Line	:	17310 W GRAND PKWY S
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7902
Country	:	US
Telephone Number	:	281-633-9700
Fax Number	:	281-232-9799

Provider Business Practice Location Address
First Line	:	17310 W GRAND PKWY S
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7902
Country	:	US
Telephone Number	:	281-633-9700
Fax Number	:	281-232-9799

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. UCHY ORAN EGBUCHUNAM
Credential	:	PHARM D
Telephone Number	:	281-633-9700

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	08/22/2020

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