# WILLIAM BEAUMONT HOSPITAL OUTPATIENT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821174020
- **Authorized official:** NANCY SUSICK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (947) 522-3338

## Contact information

- **Practice address:** 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
- **Practice address phone:** (248) 898-4098
- **Practice address fax:** (248) 898-4046
- **Mailing address:** 26901 BEAUMONT BLVD BLDG D6, SOUTHFIELD, MI 48033-3849
- **Mailing address phone:** (947) 522-1963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 5301001594 | MI | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 01/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5172302 | — | MI |