Dr. Misty Dawn Beasley, PharmD
Pharmacist in Portland, ME. Individual provider (NPI-1).
NPI number1487477030
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1487477030
- Entity type
- Individual (NPI-1)
- Name
- Dr. Misty Dawn Beasley
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2024
- Certification date
- Nov 3, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PR5387 | ME | Yes |
Practice location
449 Forest AvePortland, ME 04101-2029
Phone 207-772-1928
Mailing address
76 Beacon StPortland, ME 04103-4021
Phone 207-756-2204
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