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NPI Code Detail

MEDICARE: BEECHER PHARMACY LLC

MEDICARE: BEECHER PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy5301008888MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12371401OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1134383011
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEECHER PHARMACY LLC
Provider Business Mailing Address
First Line : G 6061 N SAGINAW ST
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : G 6061 N SAGINAW ST
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458
Country : US
Telephone Number : 810-787-4147
Fax Number : 810-787-4174
Authorized Official
Title or Position : OWNER
Name : ASMITABEN PATEL
Credential :
Telephone Number : 810-410-8461
Provider Enumeration Date : 07/10/2008
Last Update Date : 07/10/2008

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Directions to “BEECHER PHARMACY LLC ” Practice Location

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