Individual
MRS. MICKI LEEANN BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
1608 W MAGNOLIA AVE, GENEVA, AL 36340-1237
(334) 684-2277
(334) 684-3280
Mailing address
1125 HIGHWAY 179, BONIFAY, FL 32425-7303
(850) 956-4681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13923
AL
183500000X
Pharmacist
PS34361
FL
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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