Provider Demographics
NPI:1467999060
Name:BEEBE, THOMAS-JOHN PATRICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS-JOHN
Middle Name:PATRICK
Last Name:BEEBE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 VETERANS PKWY
Mailing Address - Street 2:
Mailing Address - City:BARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30204-1555
Mailing Address - Country:US
Mailing Address - Phone:770-358-6815
Mailing Address - Fax:770-358-7269
Practice Address - Street 1:631 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-1555
Practice Address - Country:US
Practice Address - Phone:770-358-6815
Practice Address - Fax:770-358-7269
Is Sole Proprietor?:No
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027962183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist