Provider Demographics
NPI:1821750100
Name:BEAMER, COURTNEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:BEAMER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 RIVER RD APT A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-4166
Mailing Address - Country:US
Mailing Address - Phone:504-669-0948
Mailing Address - Fax:
Practice Address - Street 1:4401 S CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-5105
Practice Address - Country:US
Practice Address - Phone:504-891-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist