Organization
BEACON HEALTH CARE SOLUTIONS INCORPORATED
Active
Parent organization
BEACON HEALTH CARE SOLUTIONS INCORPORATED
Other names
Broadway Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON HEALTH CARE SOLUTIONS INCORPORATED
Authorized official
ANDREW THOMAS HIBBARD PHARMD (PRESIDENT)
(541) 449-9190
Entity
Organization
Contact information
Practice address
2790 BROADWAY AVE, NORTH BEND, OR 97459-2216
(541) 449-9190
Mailing address
2790 BROADWAY AVE, NORTH BEND, OR 97459-2216
(541) 449-9190
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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