Individual
MR. BURL G. BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2201 NW 44TH CT, OKLAHOMA CITY, OK 73112-8385
(405) 210-2502
Mailing address
2201 NW 44TH CT, OKLAHOMA CITY, OK 73112-8385
(405) 210-2502
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11369
OK
Other
Enumeration date
10/19/2005
Last updated
05/07/2014
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