Provider Demographics
NPI:1265736359
Name:BECKMANS GREENE STREET PHARMACY INC
Entity type:Organization
Organization Name:BECKMANS GREENE STREET PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-777-7336
Mailing Address - Street 1:686 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2734
Mailing Address - Country:US
Mailing Address - Phone:301-777-7336
Mailing Address - Fax:301-777-3860
Practice Address - Street 1:686 GREENE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2734
Practice Address - Country:US
Practice Address - Phone:301-777-7336
Practice Address - Fax:301-777-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies