Granite Pharmacy

LBN: Granite Pharmacy Llc
Granite Pharmacy is an health care organization with primary practice located at 106 N. Montgomery St , Philipsburg MT 59858. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Granite Pharmacy Llc can be contacted via phone (406) 859-3784, or through Beyer, Robert via phone (406) 926-2940.

Contact Information

Primary practice address
106 N. Montgomery St Philipsburg MT 59858
Phone: (406) 859-3784
Fax: (406) 859-4412
Website:
Map and Directions
Authorized official contact:
Name: Beyer, Robert
Phone: (406) 926-2940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1316 Montana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417264649
LBN Legal business name Granite Pharmacy Llc
DBA Doing business as Granite Pharmacy
Authorized official Beyer, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2010
Last updated Feb 28th, 2017 - about 7 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 1417264649 NPPES
Other 2126587 PK
MEDICAID 1417264649 PK

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