Provider Demographics
NPI:1003242090
Name:ARMSTRONG, BEATRICE DENISE (RPH)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:DENISE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:DENISE
Other - Last Name:GIVENS-ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1817 DENMARK DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7090
Mailing Address - Country:US
Mailing Address - Phone:904-278-8067
Mailing Address - Fax:904-688-0153
Practice Address - Street 1:611 ZEAGLER DR
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-3810
Practice Address - Country:US
Practice Address - Phone:386-326-8450
Practice Address - Fax:386-326-8484
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist