Elwyn Rx At Fair Acres
LBN: Grane Supply, Inc.
Elwyn Rx At Fair Acres is an health care organization with primary practice located at 340 N Middletown Rd , Lima PA 19063. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Grane Supply, Inc. can be contacted via phone (610) 891-5783, or through Funderlich, Robert Charles via phone (412) 449-0690.
Contact Information
Primary practice address
340 N Middletown Rd
Lima PA 19063
Phone: (610) 891-5783
Fax: (610) 891-5860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PP482618 | Pennsylvania |
Profile Details
| NPI number | 1255705349 |
|---|---|
| LBN Legal business name | Grane Supply, Inc. |
| DBA Doing business as | Elwyn Rx At Fair Acres |
| Authorized official | Funderlich, Robert Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2015 |
| Last updated | Jul 27th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255705349 | NPPES |
| Pennsylvania | Other | PP482618 | BOARD OF PHARMACY |
| Pennsylvania | MEDICAID | 1008270470004 | BOARD OF PHARMACY |
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