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NPI Code Detail

MEDICARE: SUSAN L GRANCEY RPH

MEDICARE:   SUSAN L GRANCEY  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP036635LPA
2183500000XPharmacist0202 010287VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588661201
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN L GRANCEY RPH
Provider Business Mailing Address
First Line : 304 N 3RD ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-2527
Country : US
Telephone Number : 814-765-5371
Fax Number : 814-762-8755
Provider Business Practice Location Address
First Line : 304 N 3RD ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-2527
Country : US
Telephone Number : 814-765-5371
Fax Number : 814-762-8755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/27/2013

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Directions to “ SUSAN L GRANCEY RPH” Practice Location

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