Provider Demographics
NPI:1639598022
Name:BEATSON, KAREN LEIGH (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:BEATSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 RIVERS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4644
Mailing Address - Country:US
Mailing Address - Phone:843-572-9618
Mailing Address - Fax:843-797-6389
Practice Address - Street 1:7400 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4644
Practice Address - Country:US
Practice Address - Phone:843-572-9618
Practice Address - Fax:843-797-6389
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist