| NPI | 1447683651 |
|---|---|
| Doing Business As | GRANITE PHARMACY MISSOULA |
| Entity Type | Organization |
| Authorized Contact | ROBERT BEYER President 406-546-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 18801) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-03-07 |