Provider Demographics
NPI:1376838318
Name:BEAN, LONNIE LEE (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:LONNIE
Middle Name:LEE
Last Name:BEAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:LONNIE
Other - Middle Name:LEE
Other - Last Name:BEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7377 ALCOA RD
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-6204
Mailing Address - Country:US
Mailing Address - Phone:501-776-4361
Mailing Address - Fax:501-776-4371
Practice Address - Street 1:7377 ALCOA RD
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-6204
Practice Address - Country:US
Practice Address - Phone:501-776-4361
Practice Address - Fax:501-776-4371
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist