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GRANITE DRUGS LLC NPI 1699764399


NPI Information

NPI: 1699764399
Provider Name: GRANITE DRUGS, LLC

Doing Business As: PHARM-A-SAVE GRANITE FALLS

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 50D2183216

Address:
207 E STANLEY ST # A
GRANITE FALLS, WA
ZIP 98252
Phone: (360) 691-7778
Get Directions

GRANITE DRUGS, LLC is a pharmacy in Granite Falls, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GRANITE DRUGS, LLC NPI is 1699764399. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharm-a-save Granite Falls.

The provider's business location address is:

207 E STANLEY ST # A
GRANITE FALLS, WA
ZIP 98252-480
Phone: (360) 691-7778
Fax: (360) 691-4458

The provider's authorized official is Kari Vanderhouwen .
The authorized official title is Managing Member and has the following contact phone number (206) 915-7888.

The CLIA number assigned to this NPI record is 50D2183216 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyCF00057675WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14915712OTHERNABP
26003305MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.