| NPI | 1417264649 |
|---|---|
| Doing Business As | GRANITE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT BEYER Owner/President 406-926-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1316) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2017-02-28 |