Organization
GRANE SUPPLY, INC.
Active
Other names
Grane Rx
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT H HENNELL (VICE PRESIDENT OF REIMBURSEMENT)
(412) 963-9150
Entity
Organization
Contact information
Practice address
3251 REVERE ST STE 205, AURORA, CO 80011-1847
(720) 381-3737
Mailing address
105 GAMMA DR STE 100, PITTSBURGH, PA 15238-2950
(412) 449-0680
(412) 968-5800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/04/2019
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