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HARRISON BEASLEY PHARMD, RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1053916650

Individual Registrant:
 HARRISON  BEASLEY PHARMD, RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
5846 MABLETON PKWY SW  MABLETON, GA 30126-3471 US
Tel: 770-745-3171  Fax: --

Contact information for business:
5846 MABLETON PKWY SW  MABLETON, GA 30126-3471 US
Tel: 770-745-3171  Fax: --

Registration Information:
NPI: 1053916650
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH029364

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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