Luc Beaudreau, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Howell, MI
NPI 1952948747 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1952948747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 5302025930 (MI)
- Practice address
- 10059 E Highland Rd
Howell, MI 48843-1367 - Phone
- (810) 991-2352
- Fax
- (810) 991-2354
- NPI assigned
- Nov 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302025930 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302025930 | MI | Yes |
Addresses
Primary practice location
10059 E Highland Rd
Howell, MI 48843-1367
Mailing address
3515 Snowden LN
Howell, MI 48843-8662
Phone (734) 718-4159
Other providers in Howell, MI
- Bryan Battjes
- Amanda J Baumgartner
- Mahdi Moustapha Bazzoun
- Sarah Beadle
- Samantha Anne Beard
- Anna Beck
- Shant C Bedikian
- Corey Bedra
- Julie Marie Begoske
- Cynthia Kay Behm
All providers in Howell, MI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 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.