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Individual

JONATHAN SHANE BEAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
324 MILLER MOUNTAIN DR, WEBSTER SPRINGS, WV 26288-1065
(304) 847-5324
Mailing address
2300 SILO RD, SUMMERSVILLE, WV 26651-4655
(304) 619-4571

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007934
WV

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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