NPI | 1952577173 |
---|---|
Doing Business As | GRANDVIEW PHARMACY #2 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Senior Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2008-05-07 |
Last Update Date | 2019-11-05 |