| NPI | 1548235815 |
|---|---|
| Doing Business As | BEACON KALAMAZOO OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY PETER COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301003162) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-11-26 |