NPI 1205878501

Granite Pharmacy INC.

Organisation Long Term Care Pharmacy Milton, VT

Practice location

Address: 576 Ballard Rd STE 2, Milton, VT 05468-4210
Phone: (802) 527-9930
Fax: (802) 527-9764
Mailing address: 576 Ballard Rd STE 2 PO Box 2094, Milton, VT 05468-4210

Authorised official

Name: Lisa Dockham
Title: President
Phone: (802) 527-9930

Registered specialties (2)

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X Licence 141-0003297 (VT)

Other Pharmacy providers in Vermont →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1205878501
Entity type: Organization
NPI issued: 12 Jun 2006
Record last updated: 26 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.