| NPI | 1598104358 |
|---|---|
| Doing Business As | GRANITE STATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD ERIC BEANE Member 603-393-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |