# GRANITE CNTY MED HOSP PHCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRANITE COUNTY MEDICAL HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902942469
- **Authorized official:** AMY WEBB NHA (ADMNSTR)
- **Authorized official phone:** (406) 859-3271

## Contact information

- **Practice address:** 310 SANSOME ST, PHILIPSBURG, MT 59858-0729
- **Practice address phone:** (406) 859-3271
- **Practice address fax:** (406) 859-3011
- **Mailing address:** PO BOX 729, PHILIPSBURG, MT 59858-0729
- **Mailing address phone:** (406) 859-3271
- **Mailing address fax:** (406) 859-3011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 252 | MT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0310366 | — | MT |
| 01 | — | 2050006 | PK | — |