Provider Demographics
NPI:1386095800
Name:BEHM, ANDREW S (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:BEHM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 CABIN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-3646
Mailing Address - Country:US
Mailing Address - Phone:724-833-0002
Mailing Address - Fax:724-627-5429
Practice Address - Street 1:595 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1805
Practice Address - Country:US
Practice Address - Phone:724-627-5454
Practice Address - Fax:724-627-5429
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist