Organization
GRANDVIEW PHARMACY # 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN ELDRIDGE RPH (PRESIDENT/OWNER)
(866) 827-7575
Entity
Organization
Contact information
Practice address
474 SOUTHPOINT CIRCLE, SUITE 100, BROWNSBURG, IN 46112
(866) 827-7575
(800) 228-0844
Mailing address
474 SOUTHPOINT CIRCLE, SUITE 100, BROWNSBURG, IN 46112
(866) 827-7575
(800) 228-0844
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200856980A
—
IN
Enumeration date
05/09/2007
Last updated
05/12/2015
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