Organization
WILLIAM BEAUMONT HOSPITAL OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUSICK (CHIEF OPERATING OFFICER)
(947) 522-3338
Entity
Organization
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-4098
(248) 898-4046
Mailing address
26901 BEAUMONT BLVD BLDG D6, SOUTHFIELD, MI 48033-3849
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301001594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5172302
—
MI
Enumeration date
10/31/2006
Last updated
01/31/2023
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