Individual
JESSICA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 PALMER AVE, SALTVILLE, VA 24370-2819
(276) 496-7211
Mailing address
PO BOX S, SALTVILLE, VA 24370-1149
(276) 496-7211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213037
VA
Other
Enumeration date
03/16/2015
Last updated
01/29/2021
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