Medicine Shoppe 0082

LBN: Susan L Grancey
Medicine Shoppe 0082 is an health care organization with primary practice located at 304 N 3Rd St , Clearfield PA 16830-2527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Susan L Grancey can be contacted via phone (814) 765-5371, or through Grancey, Susan via phone (814) 765-5372.

Contact Information

Primary practice address
304 N 3Rd St Clearfield PA 16830-2527
Phone: (814) 765-5371
Fax: (814) 762-8755
Website:
Map and Directions
Authorized official contact:
Name: Grancey, Susan RPH
Phone: (814) 765-5372

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP413612L Pennsylvania

Profile Details

NPI number 1124124896
LBN Legal business name Susan L Grancey
DBA Doing business as Medicine Shoppe 0082
Authorized official Grancey, Susan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 24th, 2013 - about 13 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 1124124896 NPPES
Other 2082296 PK
MEDICAID 0015033180001 PK

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