Provider Demographics
NPI:1205249851
Name:LABEZ-TAPANG, BEAU (RPH)
Entity type:Individual
Prefix:
First Name:BEAU
Middle Name:
Last Name:LABEZ-TAPANG
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 1:711 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-4620
Mailing Address - Country:US
Mailing Address - Phone:602-266-0273
Mailing Address - Fax:602-266-0279
Practice Address - Street 1:711 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4620
Practice Address - Country:US
Practice Address - Phone:602-266-0273
Practice Address - Fax:602-266-0279
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy