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NPI 1639436561

OrganizationActive

Agrace LLC

NPI 1639436561 · Pharmacy · Grand Prairie, TX

Provider details

NPI number: 1639436561
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Adiseshu Gelli, President
License: 28456 (TX)

Practice location

721 W Tarrant Rd Ste 110

Grand Prairie, TX 75050-3445

Phone: (833) 224-7223

Fax: (214) 412-2405

More TX providers

Mailing address

721 W Tarrant Rd Ste 110

Grand Prairie, TX 75050-3445

Registry dates

Enumerated: 2012-04-17
Last updated: 2021-02-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Agrace LLC — NPI 1639436561, Grand Prairie, TX | NPI Central