Organization
M D J INC
Active
Other names
BEYER'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JAY BEYER RPH (PRESIDENT)
(812) 926-2884
Entity
Organization
Contact information
Practice address
312 3RD ST, AURORA, IN 47001-1310
(812) 926-0552
(812) 926-0697
Mailing address
PO BOX 209, AURORA, IN 47001-0209
(812) 926-0552
(812) 926-0697
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294810A
—
IN
Enumeration date
09/09/2005
Last updated
11/30/2009
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