Organization
GRANGER GENETICS, LLC
Active
Parent organization
GRANGER GENETICS, LLC
Other names
Granger Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER GENETICS, LLC
Authorized official
CYNTHIA DANIELS (DIRECTOR OF OPERATIONS)
(804) 521-7392
Entity
Organization
Contact information
Practice address
601 BIOTECH DR STE 156, NORTH CHESTERFIELD, VA 23235-5167
(804) 521-7384
Mailing address
601 BIOTECH DR STE 156, NORTH CHESTERFIELD, VA 23235-5167
(804) 521-7384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689252744
—
VA
Enumeration date
03/31/2021
Last updated
04/05/2022
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