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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