Individual provider · Type 1 NPI

Walter Ballard Beaven

Pharmacist · Louisville, KY

NPI number 1336765684 Active

Practice location

12611 Taylorsville Rd
Louisville, KY 40299-4452

Fax (502) 266-2616

Mailing address

17006 Persimmon Wood Trl
Fisherville, KY 40023-9706

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9049 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1336765684

Walter Ballard Beaven's National Provider Identifier is 1336765684, issued on Jun 23, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Louisville, KY. The record was last updated on Jun 23, 2020.