Beaverton Family Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Beaverton, MI
NPI 1194555201 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1194555201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BEAVERTON FAMILY PHARMACY LLC
- Practice address
- 3210 W Lang Rd
Beaverton, MI 48612-8102 - Phone
- (989) 339-9008
- Fax
- (855) 855-4919
- NPI assigned
- Aug 5, 2024
- Organization subpart
- No
Authorized official
- Name
- John Gross, RPH
- Title
- Owner
- Phone
- (989) 339-9008
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Beaverton Family Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3210 W Lang Rd
Beaverton, MI 48612-8102
Mailing address
11271 Harrison Ave
Farwell, MI 48622-9439
Phone (989) 339-9008
Other names
- BEAVERTON FAMILY PHARMACY
Other providers in Beaverton, MI
- Molly Patricia Allen
- At a Cross Road Counseling, PLLC
- Hannah Lee Baker
- Vinosha Balakrishnan
- Beaverton Family Pharmacy LLC
- Beaverton Medical Center P.C.
- Cheryl Ann Biddinger
- Douglas W Bouchey
- Richard A Call
- Amanda Lynn Cisse
All providers in Beaverton, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.