IndividualActive
Douglas Beaver, PHARMD.
NPI 1689769598 · Pharmacotherapy Pharmacist · Black River Falls, WI
Provider details
- NPI number
- 1689769598
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD.
- Sex
- Male
- Sole proprietor
- No
- License
- 14094-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone: (715) 284-9851
Fax: (715) 284-2293
Approximate (ZIP-level) locationGet directions
Mailing address
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.