Individual
DR. MISTY DAWN BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
449 FOREST AVE, PORTLAND, ME 04101-2029
(207) 772-1928
Mailing address
76 BEACON ST, PORTLAND, ME 04103-4021
(207) 756-2204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5387
ME
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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