Healthcare Provider Details

I. General information

NPI: 1043419724
Provider Name (Legal Business Name): WILLIAM A BECKMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CABOT ST
BEVERLY MA
01915
US

IV. Provider business mailing address

25 CABOT STREET
BEVERLY MA
01915
US

V. Phone/Fax

Practice location:
  • Phone: 978-524-4800
  • Fax:
Mailing address:
  • Phone: 978-524-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number20126
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: