Individual
MATTHEW BEAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 LEONARDWOOD DR, FRANKFORT, KY 40601
(502) 875-4020
Mailing address
301 LEONARDWOOD DR, FRANKFORT, KY 40601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024387
KY
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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