Granite Pharmacy Missoula, Llc
Community/Retail Pharmacy
2230 27th Ave. West, Suite 2, Missoula
Montana, 59804
406-926-2940 406-926-2944
Granite Pharmacy Missoula, Llc is a Community/Retail Pharmacy in Missoula, Montana. It is located at 2230 27th Ave. West, Suite 2, Missoula and it's customer support contact number is 406-926-2940. The authorized person of Granite Pharmacy Missoula, Llc is Tina Koerner who is Ceo of the pharmacy and his contact number is 406-926-2941. Active license number of Granite Pharmacy Missoula, Llc is 18801 for Community/Retail Pharmacy in Montana. Granite Pharmacy Missoula, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Granite Pharmacy Missoula, Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Granite Pharmacy Missoula, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Granite Pharmacy Missoula, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 2230 27th Ave. West, Suite 2, Missoula,
Montana, 59804 |
| Phone: | 406-926-2940 |
| Fax: | 406-926-2944 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tina Koerner |
| Position: | Ceo |
| Contact Number: | 406-926-2941 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1447683651 |
| NPI Enumeration Date: | 12 Aug, 2013 |
| NPI Last Update On: | 23 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Granite Pharmacy Missoula, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 18801 | Montana | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHA-PHR-LIC-18801 | Other | Montana | Mt Pharmacy License |
| 1447683651 | Medicaid | Montana | |
Medicare Enrollment:
Granite Pharmacy Missoula, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3779703558 | O20140929001995 | Granite Pharmacy Missoula, Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3779703558 | O20141107000617 | Granite Pharmacy Missoula, Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2230 27th Ave. West, Suite 2
Missoula, Montana |
| Zip: | 59804 |
| Phone Number: | 406-926-2940 |
| Fax Number: | 406-926-2944 |
Patients can reach Granite Pharmacy Missoula, Llc at
2230 27th Ave. West, Suite 2, Missoula, Montana or can
call on customer care at 406-926-2940.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.