| NPI | 1922154756 |
|---|---|
| Doing Business As | GRANGER PHARMACY,LLC |
| Entity Type | Organization |
| Authorized Contact | SANDALEE CORBRIDGE Tech 435-245-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 10310634-1703) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 10310634-1703) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-05-29 |