Individual
MRS. HEIDI SPENCER BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1600 MONTCLAIR RD, IRONDALE, AL 35210-2410
(205) 951-0355
Mailing address
10 HOLLYWOOD BLVD, BIRMINGHAM, AL 35209-2042
(205) 243-1830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12933
PHARMACIST LICENSE NUMBER
AL
Enumeration date
06/12/2017
Last updated
06/12/2017
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