Doctor Name: | MRS. MAUREEN G BEVERSDORF |
NPI Number: | 1508977091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT. |
License Number: | 221507051552616 |
Business Practice Address: | 131 Kercheval Ave Suite 110 Grosse Pointe Farms, MI - 482363629 |
Business Phone Number: | 3136402591 |
Business Fax Number: | 3136402589 |
Mailing Address: | 21960 Lester St, CLINTON TWP |
State: | MI |
Postal Code: | 480351736 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 221507051552616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |