Provider Demographics
NPI:1174817936
Name:BEEL, MICHELE RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:RENEE
Last Name:BEEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23240 NW PINK HILL RD
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-7316
Mailing Address - Country:US
Mailing Address - Phone:816-726-4980
Mailing Address - Fax:
Practice Address - Street 1:201 SE SALEM ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MO
Practice Address - Zip Code:64075-9284
Practice Address - Country:US
Practice Address - Phone:816-690-7606
Practice Address - Fax:816-690-6322
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004031020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist