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NPI Code Detail

MEDICARE: MS. RHONDA H BEAN RPH

MEDICARE:  MS. RHONDA H BEAN  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
1183500000XPharmacist11503NC

General Provider Information

NPI Number : 1558633578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA H BEAN RPH
Provider Business Mailing Address
First Line : 2325 VILLAGE LAKE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-0081
Country : US
Telephone Number : 704-536-3663
Fax Number : 704-536-5865
Provider Business Practice Location Address
First Line : 2325 VILLAGE LAKE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-0081
Country : US
Telephone Number : 704-536-3663
Fax Number : 704-536-5865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2012
Last Update Date : 02/07/2012

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Directions to “ MS. RHONDA H BEAN RPH” Practice Location

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