# DANVILLE PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DANVILLE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487983128
- **Authorized official:** MS. KATHRYN R GRANDIZIO RPH (CEO)
- **Authorized official phone:** (570) 284-4667

## Contact information

- **Practice address:** 439 MILL ST, DANVILLE, PA 17821-1063
- **Practice address phone:** (570) 284-4667
- **Practice address fax:** (570) 284-4670
- **Mailing address:** 229 MILL ST, DANVILLE, PA 17821-1964
- **Mailing address phone:** (570) 284-4669
- **Mailing address fax:** (570) 284-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 03/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1024585050001 | — | PA |
| 01 | — | 3993652 | NCPDP | — |