Provider Demographics
NPI:1689357659
Name:BEYERS PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:BEYERS PHARMACY SERVICES INC
Other - Org Name:WELLSPRING PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-428-1559
Mailing Address - Street 1:4184 PIEDMONT AVE STE C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5174
Mailing Address - Country:US
Mailing Address - Phone:510-428-1559
Mailing Address - Fax:
Practice Address - Street 1:4184 PIEDMONT AVE STE C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5174
Practice Address - Country:US
Practice Address - Phone:510-428-1559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy