Justin Beasley Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1770116352
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 19657-40 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-02-21
- Last updated
- 2020-02-21
Practice location
4415 State Road 16
La Crosse, WI 54601-1815
(608) 779-0939