Individual
HARRISON BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
5846 MABLETON PKWY SW, MABLETON, GA 30126-3471
(770) 745-3171
Mailing address
5846 MABLETON PKWY SW, MABLETON, GA 30126-3471
(770) 745-3171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029364
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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