Whalio Doctors

NPI 1114963600

At Home Pharmacy Grand Prairie LP

Organisation Community/Retail Pharmacy Grand Prairie, TX

Practice location

Address
4927 Lake Ridge Pkwy STE 180, Grand Prairie, TX 75052
Phone
(214) 239-9106
Fax
(214) 239-9107

Authorised official

Name
Gary Hasty
Title
Owner Ceo
Phone
(214) 956-9770

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X Licence 24380 (TX)

Registry record

NPI
1114963600
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.