Organization
BEASLEY PHARMACY INC
Active
Other names
BEASLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA NORTH PHARM.D. (SUPERVISING PHARM)
(334) 696-4611
Entity
Organization
Contact information
Practice address
111 E CHURCH ST, COLUMBIA, AL 36319-0614
(334) 696-4611
(334) 696-4669
Mailing address
PO BOX 614, COLUMBIA, AL 36319-0614
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
110551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039160
—
AL
01
—
1988611
PK
—
Enumeration date
09/20/2006
Last updated
09/30/2021
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