Individual
JONATHAN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9574 HIGHWAY 18, VERNON, AL 35592-5246
(205) 695-1195
(205) 695-1196
Mailing address
9574 HIGHWAY 18, VERNON, AL 35592-5246
(205) 695-1195
(205) 695-1196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12959
AL
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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