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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