Organization
BEAM&PUTNAM INC
Active
Other names
moss drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DELANE PUTNAM (OWNER/MGR)
(704) 867-9611
Entity
Organization
Contact information
Practice address
701 W FRANKLIN BLVD, GASTONIA, NC 28052-3830
(704) 867-9611
(704) 864-7466
Mailing address
701 W FRANKLIN BLVD, GASTONIA, NC 28052-3830
(704) 867-9611
(704) 864-7466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366129
—
NC
01
—
3401205
NABP
NC
Enumeration date
04/11/2006
Last updated
08/22/2020
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