Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Granite Pharmacy Missoula, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1447683651

Granite Pharmacy Missoula, LLC is a Durable Medical Equipment & Medical Supplies in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2013.

Licensed in
MT
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2230 27th Ave W Ste 2
Missoula, MT 59804
Phone: (406) 926-2940
Fax: (406) 926-2944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 18801 (MT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1447683651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Koerner — Owner · (406) 926-2941
Other names Granite Pharmacy Missoula
NPI enumeratedAugust 12, 2013
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address2230 27th Ave. West, Suite 2, Missoula, MT 59804

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