Organization
GRM PHARMACY, LLC
Active
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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