Courtney Beauvais
Individual provider Active NPI Pharmacy Technician · Davison, MI
NPI 1689959652 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1689959652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 290101040742275 (MI)
- Practice address
- 901 S State Rd
Davison, MI 48423-1721 - Phone
- (810) 653-4020
- Fax
- (810) 653-9174
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290101040742275 | MI | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 290101040742275 | MI | Yes |
Addresses
Primary practice location
901 S State Rd
Davison, MI 48423-1721
Mailing address
901 S State Rd
Davison, MI 48423-1721
Phone (810) 653-4020
Other providers in Davison, MI
- Barbara Anne Baryo
- Sutton Bate
- Ryan Bean
- Holly Bearse
- Caitlin Marie Bearss
- Brian J Beck
- Ralph J Becker
- Megan Anne Benton
- Terisa Maria Berger
- Ashley Jeanette Berry
All providers in Davison, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. 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.