Provider Demographics
NPI:1184090987
Name:BECKWITH, DONALD THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:THOMAS
Last Name:BECKWITH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4152
Mailing Address - Country:US
Mailing Address - Phone:530-877-7001
Mailing Address - Fax:530-877-2740
Practice Address - Street 1:6020 CLARK RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4152
Practice Address - Country:US
Practice Address - Phone:530-877-7001
Practice Address - Fax:530-877-2740
Is Sole Proprietor?:No
Enumeration Date:2015-08-15
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist