Healthcare Provider Details
I. General information
NPI: 1134011315
Provider Name (Legal Business Name): BESHOY MEKHAEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2950 WESTWAY DR STE 101
BRUNSWICK OH
44212-5666
US
IV. Provider business mailing address
3496 SANDLEWOOD DR
BRUNSWICK OH
44212-4451
US
V. Phone/Fax
- Phone: 732-642-4160
- Fax:
- Phone: 732-642-4160
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03440397 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: