| NPI | 1205878501 |
|---|---|
| Doing Business As | GRANITE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | LISA DOCKHAM President 802-527-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VT 141-0003297) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-26 |