Individual
CODY R BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2865 DAGGETT AVE, MERLE WEST MEDICAL CENTER, KLAMATH FALLS, OR 97601
(541) 883-6263
(541) 883-6216
Mailing address
4261 GARY ST, KLAMATH FALLS, OR 97603
(541) 273-2839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3604171701
UT
183500000X
Pharmacist
Primary
RPH0010764
OR
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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