| NPI | 1871825349 |
|---|---|
| Other Name | LEWIS KENT BEATY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PS-00010077) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS0033867) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |