Individual
MR. CHARLES F BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 952-8707
Mailing address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 952-8707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11124
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11124
STATE PHARMACIST LICENSE
LA
Enumeration date
04/20/2007
Last updated
07/08/2007
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