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ROBERT BEACH PHARM.D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1003411836

Individual Registrant:
 ROBERT  BEACH PHARM.D
Gender: M
Sole Proprietor

Location and contact information for practice:
175 STATE ROAD 312 W  SAINT AUGUSTINE, FL 32086-4201 US
Tel: 904-824-6167  Fax: --

Contact information for business:
175 STATE ROAD 312 W  SAINT AUGUSTINE, FL 32086-4201 US
Tel: --  Fax: --

Registration Information:
NPI: 1003411836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS57141

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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