Granville Drug

LBN: Profesional Pharmacy Managers Llc
Granville Drug is an health care organization with primary practice located at 314 S Mccoy St , Granville IL 61326-9333. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Profesional Pharmacy Managers Llc can be contacted via phone (815) 339-2286, or through Tyner, David via phone (815) 853-4342.

Contact Information

Primary practice address
314 S Mccoy St Granville IL 61326-9333
Phone: (815) 339-2286
Fax: (815) 339-2288
Website:
Map and Directions
Authorized official contact:
Name: Tyner, David
Phone: (815) 853-4342

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054017877 Illinois

Profile Details

NPI number 1508841834
LBN Legal business name Profesional Pharmacy Managers Llc
DBA Doing business as Granville Drug
Authorized official Tyner, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 27th, 2012 - about 14 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 1508841834 NPPES
Other 1410567 NCPDP PROVIDER IDENTIFICATION NUMBER

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