Individual
MR. MATTHEW BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6745 E SOUTHPORT RD, INDIANAPOLIS, IN 46237-9728
(317) 887-0934
(317) 887-0970
Mailing address
6745 E SOUTHPORT RD, INDIANAPOLIS, IN 46237-9728
(317) 887-0934
(317) 887-0970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019639A
IN
183500000X
Pharmacist
S011179
AZ
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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