Provider Demographics
NPI:1386648137
Name:BECK PRESCRIPTION SERVICES INC.
Entity Type:Organization
Organization Name:BECK PRESCRIPTION SERVICES INC.
Other - Org Name:WEISEL CLINIC PRESCRIPTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-586-7501
Mailing Address - Street 1:7505 GRAFTON RD
Mailing Address - Street 2:STE 2
Mailing Address - City:NEWPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48166-8939
Mailing Address - Country:US
Mailing Address - Phone:734-586-7501
Mailing Address - Fax:734-586-7573
Practice Address - Street 1:7505 GRAFTON RD
Practice Address - Street 2:STE 2
Practice Address - City:NEWPORT
Practice Address - State:MI
Practice Address - Zip Code:48166-8939
Practice Address - Country:US
Practice Address - Phone:734-586-7501
Practice Address - Fax:734-586-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2351928OtherNAPB
MI4837660001Medicare ID - Type Unspecified