| NPI | 1518972165 |
|---|---|
| Doing Business As | GRANITE DRUG |
| Entity Type | Organization |
| Authorized Contact | DONALD SAUCKE Pres/Owner 320-564-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 2607692) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-09-11 |