Beaverton Family Pharmacy LLC

NPI #1194555201 in Beaverton, Michigan

Provider Information

NPI Number
1194555201
Entity Type
Organization
Organization Name
Beaverton Family Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 5, 2024
Last Updated
Aug 5, 2024

Practice Location

Address
3210 W LANG RD
ZIP Code
48612-8102
Phone
(989) 339-9008

Authorized Official

Name
JOHN GROSS, RPH
Title
OWNER
Phone
(989) 339-9008

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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