Organization
GRM PHARMACY, LLC
Active
Parent organization
ELWYN PHARMACY GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELWYN PHARMACY GROUP, LLC
Authorized official
NICHOLAS KARALIS (CEO & PRESIDENT)
(610) 545-6040
Entity
Organization
Contact information
Practice address
210 ROCK RD, GLEN ROCK, NJ 07452-1707
(201) 444-3200
(201) 444-5792
Mailing address
3070 MCCANN FARM DR STE 101, GARNET VALLEY, PA 19060-2131
(201) 444-3200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
28RS00344000
NJ
3336H0001X
Home Infusion Therapy Pharmacy
Primary
28RS00344000
NJ
3336S0011X
Specialty Pharmacy
28RS00344000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00344000
STATE LICENSE
NJ
05
—
4349504
—
NJ
Enumeration date
09/08/2016
Last updated
08/26/2021
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