Most Relevant Information
Provider Data
| NPI Number: | 1003411836 |
| Provider Name: | ROBERT BEACH PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS57141 |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
175 STATE ROAD 312 W
SAINT AUGUSTINE
FL
320864201
Practice Location Phone/Fax
| Phone: | 9048246167 |
| Fax: |
Provider Mailing Location
175 STATE ROAD 312 W
SAINT AUGUSTINE
FL
320864201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |