Provider Demographics
NPI:1598365504
Name:BEARD, JAMES LOUIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LOUIS
Last Name:BEARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1110 BATTLEGROUND DR
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-1021
Mailing Address - Country:US
Mailing Address - Phone:662-423-9330
Mailing Address - Fax:662-423-6380
Practice Address - Street 1:1110 BATTLEGROUND DR
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-1021
Practice Address - Country:US
Practice Address - Phone:662-423-9330
Practice Address - Fax:662-423-6380
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-15066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist