Organization
GRANE SUPPLY, INC.
Active
Other names
Grane Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT H HENNELL (VICE PRESIDENT OF REIMBURSEMENT)
(412) 963-9150
Entity
Organization
Contact information
Practice address
105 GAMMA DR, SUITE 100, PITTSBURGH, PA 15238-2950
(412) 449-0680
(412) 968-5800
Mailing address
209 SIGMA DR, PITTSBURGH, PA 15238-2826
(412) 963-9150
(412) 963-6676
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
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
Primary
PP414945L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007611050008
—
PA
01
—
3968964
NCPDP GRANE SUPPLY
—
Enumeration date
12/28/2005
Last updated
03/07/2023
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