Beaumont Pharmacy

LBN: Beaumont Pharmacy And Health Services Inc
Beaumont Pharmacy is an health care organization with primary practice located at 21400 E 11 Mile Rd , St Clair Shores MI 48081-1502. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Beaumont Pharmacy And Health Services Inc can be contacted via phone (586) 498-4470, or through Woods, Kenneth S via phone (586) 498-4470.

Contact Information

Primary practice address
21400 E 11 Mile Rd St Clair Shores MI 48081-1502
Phone: (586) 498-4470
Fax: (586) 772-6320
Website:
Map and Directions
Authorized official contact:
Name: Woods, Kenneth S RPH
Phone: (586) 498-4470

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008722 Michigan

Profile Details

NPI number 1518953488
LBN Legal business name Beaumont Pharmacy And Health Services Inc
DBA Doing business as Beaumont Pharmacy
Authorized official Woods, Kenneth S RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2005
Last updated Oct 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518953488 NPPES
Michigan MEDICAID 1622927

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