Provider Demographics
NPI:1063131761
Name:BELARMINO, BEA ANDREA (RPH)
Entity type:Individual
Prefix:MS
First Name:BEA ANDREA
Middle Name:
Last Name:BELARMINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 BRISTLE BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-1509
Mailing Address - Country:US
Mailing Address - Phone:775-470-9445
Mailing Address - Fax:
Practice Address - Street 1:3495 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4503
Practice Address - Country:US
Practice Address - Phone:775-824-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV23061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist