# GRANE SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grane Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376520676
- **Authorized official:** MR. HERBERT H HENNELL (VICE PRESIDENT OF REIMBURSEMENT)
- **Authorized official phone:** (412) 963-9150

## Contact information

- **Practice address:** 105 GAMMA DR, SUITE 100, PITTSBURGH, PA 15238-2950
- **Practice address phone:** (412) 449-0680
- **Practice address fax:** (412) 968-5800
- **Mailing address:** 209 SIGMA DR, PITTSBURGH, PA 15238-2826
- **Mailing address phone:** (412) 963-9150
- **Mailing address fax:** (412) 963-6676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | 1661-43 | WI | — |
| 333600000X | Pharmacy | 28RO00098600 | NJ | — |
| 333600000X | Pharmacy | 33899 | NY | — |
| 333600000X | Pharmacy | 36.0118428 | VT | — |
| 333600000X | Pharmacy | 99-7543 | OK | — |
| 333600000X | Pharmacy | A9-0001366 | DE | — |
| 333600000X | Pharmacy | NR-51151 | WY | — |
| 333600000X | Pharmacy | NR1305 | NH | — |
| 333600000X | Pharmacy | NRP.022450950-03 | OH | — |
| 333600000X | Pharmacy | NRX0000927 | DC | — |
| 333600000X | Pharmacy | P06944 | MD | — |
| 333600000X | Pharmacy | PP414945L | PA | — |
| 3336L0003X | Long Term Care Pharmacy | PP414945L | PA | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007611050008 | — | PA |
| 01 | — | 3968964 | NCPDP GRANE SUPPLY | — |