MEDICARE: AUBREY LYN BEESON 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
1	183500000X	Pharmacist	03325162	OH

General Provider Information

NPI Number	:	1124395793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY LYN BEESON RPH

Provider Business Mailing Address
First Line	:	3509 EMBASSY PKWY
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-8358
Country	:	US
Telephone Number	:	330-665-9145
Fax Number	:	888-838-4700

Provider Business Practice Location Address
First Line	:	3509 EMBASSY PKWY
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-8358
Country	:	US
Telephone Number	:	330-665-9145
Fax Number	:	888-838-4700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2011
Last Update Date	:	11/25/2011

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