Granite Drug

LBN: Granite Drug Inc
Granite Drug is an health care organization with primary practice located at 260 11Th Ave , Granite Falls MN 56241-1513. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Granite Drug Inc can be contacted via phone (320) 564-3332, or through Saucke, Donald via phone (320) 564-3966.

Contact Information

Primary practice address
260 11Th Ave Granite Falls MN 56241-1513
Phone: (320) 564-3332
Fax: (320) 564-3565
Website:
Map and Directions
Authorized official contact:
Name: Saucke, Donald
Phone: (320) 564-3966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2607692 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1518972165
LBN Legal business name Granite Drug Inc
DBA Doing business as Granite Drug
Authorized official Saucke, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518972165 NPPES
Other 2419605 OTHER ID NUMBER-COMMERCIAL NUMBER

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