NPI 1528928967

Latisha Beauchamp

Practitioner Pharmacy Technician Granbury, TX

Practice location

Address: 3804 E US Highway 377, Granbury, TX 76049-7606
Phone: (817) 579-5212

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 168986 (TX)

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Registry record

NPI: 1528928967
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2025
Record last updated: 17 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.