| Granite Pharmacy Health Solutions | |
|
2230 27th Ave Ste 1 Missoula MT 59804-5128 | |
| (406) 926-2940 | |
| (406) 926-2944 |
| Full Name | Granite Pharmacy Health Solutions |
|---|---|
| Speciality | Pharmacy |
| Location | 2230 27th Ave Ste 1, Missoula, Montana |
| Authorized Official Name and Position | Robert Beyer (PHARMACIST, PRESIDENT) |
| Authorized Official Contact | 4065463090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Pharmacy Health Solutions 2230 27th Ave Suite 1 Missoula MT 59804-5126 Ph: (406) 926-2940 | Granite Pharmacy Health Solutions 2230 27th Ave Ste 1 Missoula MT 59804-5128 Ph: (406) 926-2940 |
| NPI Number | 1578996773 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 4082798277 |
|---|---|
| Medicare Enrollment ID | O20140825001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578996773 | NPI | - | NPPES |
| 1578996773 | Medicaid | MT | |
| 2141656 | Other | PK |
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