Organization
WISNER BECK DRUG INC
Active
Other names
WISNER BECK DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
GREG BECK (PRESIDENT)
(269) 695-3511
Entity
Organization
Contact information
Practice address
802 E FRONT ST, BUCHANAN, MI 49107-1499
(269) 695-3511
(269) 695-7135
Mailing address
802 E FRONT ST, BUCHANAN, MI 49107-1499
(269) 695-3511
(269) 695-7135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311013
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2520322
—
MI
Enumeration date
08/20/2006
Last updated
07/14/2011
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