Organization
BEACHYS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD ELLIOT BEACHY R.PH. (OWNER)
(301) 895-5177
Entity
Organization
Contact information
Practice address
149 MAIN ST, GRANTSVILLE, MD 21536-1258
(301) 895-5177
Mailing address
PO BOX 189, GRANTSVILLE, MD 21536-0189
(301) 895-5177
(301) 895-3623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P00030
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110980
NCPDP
MD
Enumeration date
10/27/2005
Last updated
12/10/2008
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