Provider Demographics
NPI:1225328438
Name:BEIERLE, LARRY COLE JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:COLE
Last Name:BEIERLE
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30222 CROWN VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2332
Mailing Address - Country:US
Mailing Address - Phone:949-495-5823
Mailing Address - Fax:949-495-7981
Practice Address - Street 1:30222 CROWN VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2332
Practice Address - Country:US
Practice Address - Phone:949-495-5823
Practice Address - Fax:949-495-7981
Is Sole Proprietor?:No
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist