Provider Demographics
NPI:1114206612
Name:BECK, CRAIG WAYNE (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:WAYNE
Last Name:BECK
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 WEST 850 SOUTH
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11925 S STATE ST
Practice Address - Street 2:LONE PEAK HOSPITAL
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7735
Practice Address - Country:US
Practice Address - Phone:801-545-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5114987-1702183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist