Provider Demographics
NPI:1306177845
Name:GUESS, BEVERLY KAY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:KAY
Last Name:GUESS
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 1:214 PARK LAKE TRCE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3299
Mailing Address - Country:US
Mailing Address - Phone:205-436-8262
Mailing Address - Fax:
Practice Address - Street 1:214 PARK LAKE TRCE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3299
Practice Address - Country:US
Practice Address - Phone:205-436-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist