| NPI | 1356495709 |
|---|---|
| Former Legal Business Name | BEACON POINTE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | HASNA IWAS Owner 586-295-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301006388) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-04-17 |