Individual
TREVOR R BECKSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
175 W CENTER ST, OREM, UT 84057-4607
(801) 224-6510
Mailing address
115 N 750 E, OREM, UT 84097-4963
(801) 960-7682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7115188-1701
UT
183500000X
Pharmacist
IR60836298
WA
183500000X
Pharmacist
PH60856689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60856689
PHARMACIST
WA
01
—
71115188-1701
PHARMACIST
UT
Enumeration date
06/26/2018
Last updated
04/13/2021
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