Individual provider · NPI-1

Ashley Crystal Beaty, CphT

Pharmacy Technician · Chicago, IL

NPI number1477242352
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1477242352
Entity type
Individual (NPI-1)
Name
Ms. Ashley Crystal Beaty
Credential
CphT
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2023
Certification date
May 5, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician049.282984ILYes

Practice location

1633 W 95th St
Chicago, IL 60643-1331

Phone 773-445-9277

Mailing address

1633 W 95th St
Chicago, IL 60643-1331

Phone 773-666-3320

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