Organization
WISNER BECK DRUG INC
Active
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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