The Beaverton Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Beaverton, MI
NPI 1497844047 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1497844047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301005882 (MI)
- Legal business name
- THE BEAVERTON PHARMACY INC
- Practice address
- 127 W Brown St
Beaverton, MI 48612-8119 - Phone
- (989) 435-7778
- Fax
- (989) 435-2581
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Riffert
- Title
- Pharmacist President
- Phone
- (989) 435-7778
Practitioners 2
-
Robert Riffert, RPH
-
Christian Vincent Riffert, PHARM.D., RPH
National Provider Directory
Locations
127 W Brown St
Beaverton, MI 48612
Phone (989) 435-7778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301005882 | MI | Yes |
Addresses
Primary practice location
127 W Brown St
Beaverton, MI 48612-8119
Mailing address
PO Box 575
Beaverton, MI 48612-0575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2933529 | Medicaid | MI | |
| 2042247 | Other | PK |
Other names
- BEAVERTON PHARMACY
Other providers in Beaverton, MI
- Steele Minds Therapy LLC
- Theresa Steele
- Lawrence Stevenson II
- Jessica Sullivan
- Libby Paige Tharp
- Jayne Ann Waite
- Brenda C Webb
- Denise York
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 Jul 20, 2020. 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.