Beaudreault, Tammy Sue

Beaudreault, Tammy Sue is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5907. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Beaudreault, Tammy Sue can be contacted via phone (907) 458-5615.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701-5907
Fax: (907) 458-5060
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1645 Alaska

Profile Details

NPI number 1487788428
LBN Legal business name Beaudreault, Tammy Sue
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487788428 NPPES
Alaska Other 1645 PHARMACIST LICENSE

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