Provider Demographics
NPI:1891926218
Name:BEUGLASS, DEAN M (RPH)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:M
Last Name:BEUGLASS
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 1:4020 OXBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4218
Mailing Address - Country:US
Mailing Address - Phone:804-306-0267
Mailing Address - Fax:
Practice Address - Street 1:4020 OXBRIDGE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-4218
Practice Address - Country:US
Practice Address - Phone:804-306-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202010666OtherSTATE LICENSE NUMBER