Organization
BEAUMONT PHARMACY AND HEALTH SERVICES INC
Active
Other names
BEAUMONT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WOODS (PHARMACY DIRECTOR)
(586) 498-4470
Entity
Organization
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1700
(313) 417-6033
Mailing address
21400 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008721
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841244
—
MI
01
—
2324969
OTHER ID NUMBER
—
Enumeration date
09/26/2005
Last updated
11/07/2007
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