DR. Justice Domonic Beaty, PHARMD

NPI #1336946870 in Corbin, Kentucky

Provider Information

NPI Number: 1336946870
Entity Type: Individual
Name: DR. Justice Domonic Beaty, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 3, 2025
Last Updated: Mar 3, 2025

Practice Location

Address: 1 TRILLIUM WAY
City: Corbin
State: Kentucky
ZIP Code: 40701-8426
Phone: (865) 278-0692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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