Beacon Pointe Pharmacy Inc.

LBN: Beacon Pointe Pharmacy Inc.
Beacon Pointe Pharmacy Inc. is an health care organization with primary practice located at 15200 E Jefferson Ave Ste #102, Grosse Pointe Park MI 48230-1304. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beacon Pointe Pharmacy Inc. can be contacted via phone (313) 822-5474, or through Iwas, Hasna via phone (586) 295-7221.

Contact Information

Primary practice address
15200 E Jefferson Ave Ste #102 Grosse Pointe Park MI 48230-1304
Phone: (313) 822-5474
Fax: (313) 822-8780
Website:
Map and Directions
Authorized official contact:
Name: Iwas, Hasna PHARM D
Phone: (586) 295-7221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006388 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1356495709
LBN Legal business name Beacon Pointe Pharmacy Inc.
DBA Doing business as Beacon Pointe Pharmacy Inc.
Authorized official Iwas, Hasna PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356495709 NPPES
Michigan MEDICAID 33226861
Michigan Other 2040849
Michigan MEDICAID 3226861

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