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Organization
GRANDVIEW PHARMACY, INC.
Active
Organization
GRANDVIEW PHARMACY, INC.
Active
Other names
Grandview Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN ELDRIDGE RPH (PRESIDENT)
(317) 858-6600
Entity
Organization
Contact information
Practice address
2330 N PARK RD, CONNERSVILLE, IN 47331-2904
(866) 827-7575
(800) 228-0844
Mailing address
474 SOUTHPOINT CIR, BROWNSBURG, IN 46112-2203
(866) 827-7575
(800) 228-0844
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
60002003A
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
60002003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295600
—
IN
Enumeration date
05/10/2006
Last updated
12/27/2017
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