Individual
JERRY LYNN BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 WARD BLVD, WILSON, NC 27893-1619
(252) 243-3131
Mailing address
6450 KNIGHTS MILL RD, STANTONSBURG, NC 27883-9247
(252) 236-5197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09143
NC
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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