Organization
BEARD PHARMACIST INC.
Active
Other names
Bussey Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY M BEARD RPH (OWNER)
(936) 254-2471
Entity
Organization
Contact information
Practice address
443 AUSTIN STREET, TIMPSON, TX 75975-0458
(936) 254-2471
(936) 254-2435
Mailing address
PO BOX 458, TIMPSON, TX 75975-0458
(936) 254-2471
(936) 254-2435
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142783
—
TX
01
—
4544006
NABP
TX
Enumeration date
02/09/2007
Last updated
08/30/2019
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