Individual
GERALD HOWARD BEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
125 S WASHINGTON ST STE 200, NEVADA, MO 64772-3329
(417) 667-2500
Mailing address
125 S WASHINGTON ST STE 200, NEVADA, MO 64772-3329
(417) 667-2500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2017042337
MO
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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