| NPI | 1891745188 |
|---|---|
| Doing Business As | GRANDVIEW PHARMACY #48537 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-03-12 |