Provider Demographics
NPI:1003681933
Name:BEAMS, ALEX (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:BEAMS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 CREPE MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7543
Mailing Address - Country:US
Mailing Address - Phone:803-648-7800
Mailing Address - Fax:803-648-7277
Practice Address - Street 1:190 CREPE MYRTLE DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7543
Practice Address - Country:US
Practice Address - Phone:803-648-7800
Practice Address - Fax:803-648-7277
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist