# GOLD BEACH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEACON HEALTH CARE SOLUTIONS INCORPORATED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528809886
- **Legal business name:** BEACON HEALTH CARE SOLUTIONS INCORPORATED
- **Authorized official:** DR. ANDREW HIBBARD PHARMD (PRESIDENT)
- **Authorized official phone:** (269) 599-0857

## Contact information

- **Practice address:** 94202 2ND ST, GOLD BEACH, OR 97444-9700
- **Practice address phone:** (541) 727-3300
- **Practice address fax:** (541) 919-0034
- **Mailing address:** 2790 BROADWAY AVE, NORTH BEND, OR 97459-2216
- **Mailing address phone:** (541) 727-3300
- **Mailing address fax:** (541) 919-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 01/31/2025