Individual
DALE ERVIN BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
205 WEST G L SMITH STREET, MORGANTOWN, KY 42261
(270) 526-5615
(270) 526-6713
Mailing address
3330 MONTGOMERY WAY, BOWLING GREEN, KY 42104-0833
(270) 781-8958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7398
KY
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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