Provider Demographics
NPI:1972086981
Name:BEEMER ENTERPRISES INC
Entity Type:Organization
Organization Name:BEEMER ENTERPRISES INC
Other - Org Name:CANADIAN LAKES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BEEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-359-1661
Mailing Address - Street 1:10075 BUCHANAN RD
Mailing Address - Street 2:
Mailing Address - City:CANADIAN LAKES
Mailing Address - State:MI
Mailing Address - Zip Code:49346-9762
Mailing Address - Country:US
Mailing Address - Phone:231-359-1661
Mailing Address - Fax:231-359-1665
Practice Address - Street 1:10075 BUCHANAN RD
Practice Address - Street 2:
Practice Address - City:CANADIAN LAKES
Practice Address - State:MI
Practice Address - Zip Code:49346-9762
Practice Address - Country:US
Practice Address - Phone:231-359-1661
Practice Address - Fax:231-359-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy