Provider Demographics
NPI:1467639708
Name:BEERS, KATIE REBECCA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:REBECCA
Last Name:BEERS
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 1:216 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283-1656
Mailing Address - Country:US
Mailing Address - Phone:507-637-3549
Mailing Address - Fax:
Practice Address - Street 1:216 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:REDWOOD FALLS
Practice Address - State:MN
Practice Address - Zip Code:56283-1656
Practice Address - Country:US
Practice Address - Phone:507-637-3549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist