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Organization

EDWARD V BEAM PHARMACY INC

Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BEAM (OWNER)
(704) 487-8068
Entity
Organization

Contact information

Practice address
108 E GROVER ST, SHELBY, NC 28150-3804
(704) 487-8068
(704) 487-7177
Mailing address
108 E GROVER ST, SHELBY, NC 28150-3804

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
07485
NC
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0235839
NC
01
0438J
BLUE CROSS BLUE SHIELD
NC
01
3410949
OTHER ID NUMBER
05
7703111
NC
Enumeration date
05/16/2006
Last updated
03/12/2012
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