Provider Demographics
NPI:1174644553
Name:BEIER, MANJU TANEJA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MANJU
Middle Name:TANEJA
Last Name:BEIER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 COMMONWEALTH BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1568
Mailing Address - Country:US
Mailing Address - Phone:734-663-9281
Mailing Address - Fax:
Practice Address - Street 1:2001 COMMONWEALTH BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1568
Practice Address - Country:US
Practice Address - Phone:734-663-9281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020257841835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric