Provider Demographics
NPI:1114697315
Name:BEAUCHAMP, ROBIN SCOTT JR (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:SCOTT
Last Name:BEAUCHAMP
Suffix:JR
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 GOLDEN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-6923
Mailing Address - Country:US
Mailing Address - Phone:256-835-5099
Mailing Address - Fax:
Practice Address - Street 1:1401 GOLDEN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6923
Practice Address - Country:US
Practice Address - Phone:256-835-5099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-18
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43445183500000X
AL22143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist