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Contact Information

GRANE SUPPLY, INC.
340 N MIDDLETOWN RD
LIMA, PA19063
 Phone: 610-891-5783
 Fax: 610-891-5860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRANE SUPPLY, INC.

NPI # 1255705349
LBN Legal business name GRANE SUPPLY, INC.
Authorized official ROBERT FUNDERLICH - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2015
Last updated 07/27/2021 - About 5 years ago
Identifiers
PA License # PP482618
PA Medicaid 1008270470004
PA Other PP482618 BOARD OF PHARMACY
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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