| NPI | 1598052797 |
|---|---|
| Doing Business As | GRANITE PHARMACY LIBBY |
| Entity Type | Organization |
| Authorized Contact | ROBERT BEYER President 406-926-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1332) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2017-02-27 |