Organization
BEAVERTON FAMILY PHARMACY LLC
Active
Organization
BEAVERTON FAMILY PHARMACY LLC
Active
Other names
BEAVERTON FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GROSS RPH (OWNER)
(989) 339-9008
Entity
Organization
Contact information
Practice address
3210 W LANG RD, BEAVERTON, MI 48612-8102
(989) 339-9008
(855) 855-4919
Mailing address
11271 HARRISON AVE, FARWELL, MI 48622-9439
(989) 339-9008
(855) 855-4919
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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