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Contact Information

GRANDVIEW PHARMACY # 3
474 SOUTHPOINT CIRCLE
SUITE 100
BROWNSBURG, IN46112
 Phone: 866-827-7575
 Fax: 800-228-0844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRANDVIEW PHARMACY # 3

NPI Number 1538373691
LBN Legal business name GRANDVIEW PHARMACY # 3
Authorized official GLENN ELDRIDGE - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 05/12/2015 - About 11 years ago
Identifiers
IN License # 60006056A
IN Medicaid 200856980A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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