Provider Demographics
NPI:1710409412
Name:BECK, EMILY MAYE (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MAYE
Last Name:BECK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 CEDAR HILLS CT SE APT E
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-6918
Mailing Address - Country:US
Mailing Address - Phone:704-640-8976
Mailing Address - Fax:
Practice Address - Street 1:325 PINEOLA ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-7602
Practice Address - Country:US
Practice Address - Phone:828-733-6026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist