Provider Demographics
NPI:1609939941
Name:BEYER, ROBERT ERIC (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ERIC
Last Name:BEYER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 HUMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7116
Mailing Address - Country:US
Mailing Address - Phone:406-926-2940
Mailing Address - Fax:406-926-2944
Practice Address - Street 1:2230 27TH AVE WEST
Practice Address - Street 2:SUITE 1
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804
Practice Address - Country:US
Practice Address - Phone:406-926-2940
Practice Address - Fax:406-926-2944
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3784183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric