Individual
DANIEL O BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 884-1780
(541) 884-1762
Mailing address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 884-1780
(541) 884-1762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011316
OR
183500000X
Pharmacist
838
AK
183500000X
Pharmacist
S006354
AZ
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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