Healthcare Provider Details

I. General information

NPI: 1609216043
Provider Name (Legal Business Name): AARON JAMES BEIGHLE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2013
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8699 ELK RIVER RD N
CLENDENIN WV
25045-5001
US

IV. Provider business mailing address

8699 ELK RIVER RD N
CLENDENIN WV
25045-5001
US

V. Phone/Fax

Practice location:
  • Phone: 304-549-5508
  • Fax: 304-548-4464
Mailing address:
  • Phone: 304-548-6593
  • Fax: 304-548-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0008097
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: