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MRS. MICKI LEEANN BEALL PHARM-D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1396274387

Individual Registrant:
MRS. MICKI LEEANN BEALL PHARM-D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1608 W MAGNOLIA AVE  GENEVA, AL 36340-1237 US
Tel: 334-684-2277  Fax: 334-684-3280

Contact information for business:
1125 HIGHWAY 179  BONIFAY, FL 32425-7303 US
Tel: 850-956-4681  Fax: --

Registration Information:
NPI: 1396274387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL13923
N183500000XPharmacy Service Providers
Pharmacist
FLPS34361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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