Organization
MARK JAY BECKWITH
Active
Other names
BECKWITH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JAY BECKWITH RPH (OWNER)
(636) 528-8462
Entity
Organization
Contact information
Practice address
107 N LINCOLN DR, TROY, MO 63379-1315
(636) 528-8462
(636) 748-6433
Mailing address
PO BOX 204, TROY, MO 63379-1315
(636) 528-8462
(636) 748-6433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3220
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049617
PK
—
05
—
600657803MO
—
MO
Enumeration date
07/11/2006
Last updated
02/16/2026
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