Granger Pharmacy,Llc

LBN: Granger Pharmacy
Granger Pharmacy,Llc is an health care organization with primary practice located at 2965 W 3500 S , West Valley City UT 84119-3602. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Granger Pharmacy can be contacted via phone (801) 965-3639, or through Corbridge, Sandalee via phone (435) 245-6422.

Contact Information

Primary practice address
2965 W 3500 S West Valley City UT 84119-3602
Phone: (801) 965-3639
Fax: (801) 965-9641
Website:
Map and Directions
Authorized official contact:
Name: Corbridge, Sandalee TECH
Phone: (435) 245-6422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 10310634-1703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X 10310634-1703 Utah

Profile Details

NPI number 1922154756
LBN Legal business name Granger Pharmacy
DBA Doing business as Granger Pharmacy,Llc
Authorized official Corbridge, Sandalee TECH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated May 29th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922154756 NPPES
Other 2139745 PK
MEDICAID 1922154756 PK

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