Provider Demographics
NPI:1639501422
Name:BEAM, JULIE A (PHARMD, ACE)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:BEAM
Suffix:
Gender:F
Credentials:PHARMD, ACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 SILO RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-4655
Mailing Address - Country:US
Mailing Address - Phone:304-701-7932
Mailing Address - Fax:
Practice Address - Street 1:324 MILLER MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:WEBSTER SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:26288-1065
Practice Address - Country:US
Practice Address - Phone:304-847-5324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVRP0008120OtherWEST VIRGINIA BOARD OF PHARMACY