Belavista Drugs
Pharmacy, Community/Retail Pharmacy in Southgate, MI. Organization (NPI-2).
NPI number1851385348
StatusActive
Last updated in NPPESSep 17, 2009
Details
- NPI
- 1851385348
- Entity type
- Organization (NPI-2)
- Legal business name
- Belavista Drugs
- Organization subpart
- No
- Enumeration date
- Sep 10, 2005
- Last updated
- Sep 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301008225 | MI | Yes |
| 183500000X | Pharmacist | 5301008225 | MI |
Practice location
15830 Fort StSuite 5
Southgate, MI 48195-1367
Phone 734-282-1940 · Fax 734-282-1953
Mailing address
15830 Fort StSuite 5
Southgate, MI 48195-1367
Phone 734-282-1940 · Fax 734-282-1953
Authorized official
Jihad H Beydoun
Registered Pharmacist
7342821940
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All 28 Community/Retail Pharmacy providers in Southgate · All 2,117 providers in Southgate
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