Organization
BEAUMONT PHARMACY AND HEALTH SERVICES INC
Active
Organization
BEAUMONT PHARMACY AND HEALTH SERVICES INC
Active
Parent organization
WILLIAM BEAUMONT HOSPITAL
Other names
Beaumont Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM BEAUMONT HOSPITAL
Authorized official
KENNETH S WOODS RPH (DIRECTOR)
(586) 498-4470
Entity
Organization
Contact information
Practice address
21400 E 11 MILE RD, ST CLAIR SHORES, MI 48081-1502
(586) 498-4470
(586) 772-6320
Mailing address
21400 E 11 MILE RD, ST CLAIR SHORES, MI 48081-1502
(586) 498-4470
(586) 772-6320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622927
—
MI
Enumeration date
09/26/2005
Last updated
10/15/2007
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