Provider Demographics
NPI:1316540644
Name:BECKMAN, EMMA ESTELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMMA
Middle Name:ESTELLE
Last Name:BECKMAN
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 1:449 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4943
Mailing Address - Country:US
Mailing Address - Phone:330-928-0294
Mailing Address - Fax:330-734-6334
Practice Address - Street 1:449 HOWE AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-4943
Practice Address - Country:US
Practice Address - Phone:330-928-0294
Practice Address - Fax:330-734-6334
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist