Individual
LUKE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 BENT TREE CT, SAINT JOSEPH, MO 64506-2400
(785) 633-2949
Mailing address
2310 BENT TREE CT, SAINT JOSEPH, MO 64506-2400
(785) 633-2949
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2016011562
MO
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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