Organization
BEACON PROFESSIONAL PHARMACY, INC
Active
Organization
BEACON PROFESSIONAL PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE A EID RPH (OWNER)
(586) 909-4964
Entity
Organization
Contact information
Practice address
23350 GREENFIELD RD, OAK PARK, MI 48237-2496
(248) 968-3800
(248) 968-3801
Mailing address
54876 ALEXIS CT, SHELBY TWP, MI 48316-1359
(586) 909-4964
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
03/15/2013
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