Organization
GRANITE PHARMACY INC.
Active
Other names
GRANITE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOCKHAM RPH. (PRESIDENT)
(802) 527-9930
Entity
Organization
Contact information
Practice address
576 BALLARD RD STE 2, MILTON, VT 05468-4210
(802) 527-9930
(802) 527-9764
Mailing address
576 BALLARD RD STE 2, PO BOX 2094, MILTON, VT 05468-4210
(802) 527-9930
(802) 527-9764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
141-0003297
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006503
—
VT
01
—
2101633
PK
—
Enumeration date
06/12/2006
Last updated
10/26/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us