Individual
MRS. JUDI L BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2755 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-0955
(423) 525-4221
(423) 525-4783
Mailing address
130 BROYLES RD, TELFORD, TN 37690-2133
(423) 502-8169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7592
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007592
STATE PHARMACIST LICENSE
TN
Enumeration date
06/28/2010
Last updated
12/12/2020
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