Beasley, Edmond Ray
Beasley, Edmond Ray is an sole proprietor health care provider with primary practice located at 76 N 1100 E , American Fork UT 84003-2952. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Beasley, Edmond Ray can be contacted via phone (801) 756-4021.Contact Information
Primary practice address
76 N 1100 E
American Fork UT 84003-2952
Phone: (801) 756-4021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 135545-1701 | Utah |
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 135541-1701 | Utah |
Profile Details
| NPI number | 1255354015 |
|---|---|
| LBN Legal business name | Beasley, Edmond Ray |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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