Organization
GRANITE DRUGS, LLC
Active
Other names
Pharm-A-Save Granite Falls
Organization subpart
No
Provider details
NPI number
Authorized official
KARI VANDERHOUWEN (MANAGING MEMBER)
(206) 915-7888
Entity
Organization
Contact information
Practice address
207 E STANLEY ST # A, GRANITE FALLS, WA 98252-8480
(360) 691-7778
(360) 691-4458
Mailing address
207 E STANLEY ST STE A, GRANITE FALLS, WA 98252-8480
(360) 691-7778
(360) 691-4458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00057675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915712
NABP
—
05
—
6003305
—
WA
Enumeration date
10/17/2005
Last updated
12/23/2019
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