Individual
DR. TAMMY SUE BEAUDREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5615
(907) 458-5060
Mailing address
SAFEWAY 0405 PHARMACY, 3627 AIRPORT WAY, FAIRBANKS, AK 99709
(907) 374-4060
(907) 374-4019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1645
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1645
PHARMACIST LICENSE
AK
Enumeration date
03/14/2007
Last updated
01/26/2021
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