| NPI | 1265028971 |
|---|---|
| Doing Business As | BEACON HOME CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRUDY KAY WAIT Pharmacy Manager 574-647-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-01-11 |