Provider Demographics
NPI:1417177817
Name:BECK, ANGEL M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 TOWNSHIP ROAD 1353
Mailing Address - Street 2:
Mailing Address - City:CROWN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45623-8703
Mailing Address - Country:US
Mailing Address - Phone:740-339-3879
Mailing Address - Fax:740-886-0393
Practice Address - Street 1:2300 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1045
Practice Address - Country:US
Practice Address - Phone:304-357-4775
Practice Address - Fax:304-357-4868
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013530183500000X
OH26977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist