Healthcare Provider Details

I. General information

NPI: 1477472876
Provider Name (Legal Business Name): ALINA ANNA BEJOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 M 62
CASSOPOLIS MI
49031-1034
US

IV. Provider business mailing address

125 GREEN ST APT 202
GRANGER IN
46530-0049
US

V. Phone/Fax

Practice location:
  • Phone: 269-445-3874
  • Fax: 269-445-2076
Mailing address:
  • Phone: 269-683-0300
  • Fax: 269-445-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302416540
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: