Organization
WILLIAM BEAUMONT HOSPITAL
Active
Other names
Corewell Health Specialty Pharmacy, Corewell Health Consolidated Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CHIEF FINANCIAL OFFICER)
(616) 486-5246
Entity
Organization
Contact information
Practice address
41965 ECORSE RD STE COREWELL, VAN BUREN TWP, MI 48111-1164
(586) 753-4180
Mailing address
41965 ECORSE RD STE 100, VAN BUREN TWP, MI 48111-1164
(586) 753-4180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165762
PK
—
Enumeration date
10/18/2016
Last updated
06/12/2025
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