| Organization Name: | GRANDVIEW PHARMACY, INC. |
| NPI Number: | 1083052443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENN ELDRIDGE (COO/OWNER) |
| Mailing Address: | 2230 N Park Rd Connersville |
| State: | IN US |
| Postal Code: | 473312903 |
| Phone Number: | 8007628935 |
| Fax Number: | 7658277503 |
| NPI Enumeration Date: | 06/07/2013 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 69000387A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |