| NPI | 1477816080 |
|---|---|
| Doing Business As | BEACON HC PHARMACY ELK |
| Entity Type | Organization |
| Authorized Contact | GREGORY CONRAD President 574-647-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 251F00000X Home Infusion | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2017-02-27 |