Organization
BEACON HEALTH VENTURES INC
Active
Organization
BEACON HEALTH VENTURES INC
Active
Other names
Beacon Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY KAY WAIT (PHARMACY MANAGER)
(574) 647-8674
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 647-8675
(574) 647-8764
Mailing address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 647-8675
(574) 647-8764
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/16/2020
Last updated
01/11/2021
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