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Organization
EDWARD V BEAM PHARMACY INC
Active
Organization
EDWARD V BEAM PHARMACY INC
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BEAM (OWNER)
(704) 487-8068
Entity
Organization
Contact information
Practice address
108 E GROVER ST, SHELBY, NC 28150-3804
(704) 487-8068
(704) 487-7177
Mailing address
108 E GROVER ST, SHELBY, NC 28150-3804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
07485
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235839
—
NC
01
—
0438J
BLUE CROSS BLUE SHIELD
NC
01
—
3410949
OTHER ID NUMBER
—
05
—
7703111
—
NC
Enumeration date
05/16/2006
Last updated
03/12/2012
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