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NPI Code Detail

MEDICARE: JOHN MICHAEL BEAVER II RPH

MEDICARE: JOHN MICHAEL BEAVER II RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP0005906WV

General Provider Information

NPI Number : 1053049056
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MICHAEL BEAVER II RPH
Provider Business Mailing Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-674-2412
Fax Number : 304-675-7150
Provider Business Practice Location Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-674-2412
Fax Number : 304-675-7150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2022
Last Update Date : 08/09/2022

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Directions to “ JOHN MICHAEL BEAVER II RPH” Practice Location

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