Provider Demographics
NPI:1699870345
Name:BECK, DEBRA ANN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ANN
Last Name:BECK
Suffix:
Gender:F
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 1:609 MAIN ST
Mailing Address - Street 2:PO BOX 776
Mailing Address - City:UNDERWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58576
Mailing Address - Country:US
Mailing Address - Phone:701-442-3629
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:ND
Practice Address - Zip Code:58577
Practice Address - Country:US
Practice Address - Phone:701-462-8174
Practice Address - Fax:701-462-3597
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist