Wisner Beck Drug Inc
Organization Active NPI Community/Retail Pharmacy · Buchanan, MI
NPI 1720193758 · NPPES record last updated Jul 14, 2011
Key facts
- NPI
- 1720193758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301000073 (MI)
- Legal business name
- WISNER BECK DRUG INC
- Practice address
- 802 E Front St
Buchanan, MI 49107-1499 - Phone
- (269) 695-3511
- Fax
- (269) 695-7135
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Greg Beck
- Title
- President
- Phone
- (269) 695-3511
Practitioners 1
-
John M. Harrington, HEARING AID DEALER
National Provider Directory
Locations
802 E Front St
Buchanan, MI 49107
Phone (269) 695-3511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301000073 | MI | Yes |
Addresses
Primary practice location
802 E Front St
Buchanan, MI 49107-1499
Mailing address
802 E Front St
Buchanan, MI 49107-1499
Phone (269) 695-3511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2520322 | Medicaid | MI | |
| 2311013 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- WISNER BECK DRUG STORE INC
Other providers in Buchanan, MI
All providers in Buchanan, 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 14, 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.