Individual
MR. TYRON C. BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
KROGER PHARMACY #260, 300 N DEAN RD., AUBURN, AL 36830
(334) 821-1717
(334) 887-7435
Mailing address
1687 EASTON CT, AUBURN, AL 36830-6628
(334) 301-8277
(334) 887-7435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10469
AL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10469
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10469
ALA. ST. BD. PHARMACY
AL
Enumeration date
09/24/2006
Last updated
06/10/2022
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