Provider Demographics
NPI:1578996773
Name:G & E VENTURES INC
Entity Type:Organization
Organization Name:G & E VENTURES INC
Other - Org Name:GRANITE PHARMACY HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-546-3090
Mailing Address - Street 1:2230 27TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-5126
Mailing Address - Country:US
Mailing Address - Phone:406-926-2940
Mailing Address - Fax:406-926-2944
Practice Address - Street 1:2230 27TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-5128
Practice Address - Country:US
Practice Address - Phone:406-926-2940
Practice Address - Fax:406-926-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 332B00000X, 333600000X, 3336S0011X
MT188023336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No251S00000XAgenciesCommunity/Behavioral Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1578996773Medicaid
2141656OtherPK
MT18802OtherSTATE LICENSE
2141656OtherPK