Provider Demographics
NPI:1497463095
Name:GRANBY PHARMACY, INC
Entity Type:Organization
Organization Name:GRANBY PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:LALONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-467-7022
Mailing Address - Street 1:242 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:MA
Mailing Address - Zip Code:01033-9417
Mailing Address - Country:US
Mailing Address - Phone:413-467-7022
Mailing Address - Fax:413-467-3773
Practice Address - Street 1:242 STATE ST
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:MA
Practice Address - Zip Code:01033-9417
Practice Address - Country:US
Practice Address - Phone:413-467-7022
Practice Address - Fax:413-467-3773
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRANBY PHARMACY INC DBA CENTER PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy