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GRANE SUPPLY INC. NPI 1255705349


NPI Information

NPI: 1255705349
Provider Name: GRANE SUPPLY, INC.

Doing Business As: ELWYN RX AT FAIR ACRES

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
340 N MIDDLETOWN RD
LIMA, PA
ZIP 19063
Phone: (610) 891-5783
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GRANE SUPPLY, INC. is a long term care pharmacy pharmacy in Lima, PA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GRANE SUPPLY, INC. NPI is 1255705349. The provider is registered as an organization entity type.
The provider Is Doing Business As Elwyn Rx At Fair Acres.

The provider's business location address is:

340 N MIDDLETOWN RD
LIMA, PA
ZIP 19063
Phone: (610) 891-5783
Fax: (610) 891-5860

The provider's authorized official is Robert Charles Funderlich .
The authorized official title is Chief Financial Officer and has the following contact phone number (412) 449-0690.

The enumeration date for this NPI number is 11/30/2015 and was last updated on 7/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPP482618PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11008270470004MEDICAIDPENNSYLVANIA
2PP482618OTHERPENNSYLVANIABOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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