MEDICARE: MRS. BEVERLY KAY GUESS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14817	AL

General Provider Information

NPI Number	:	1306177845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BEVERLY KAY GUESS PHARMD

Provider Business Mailing Address
First Line	:	214 PARK LAKE TRCE
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3299
Country	:	US
Telephone Number	:	205-436-8262
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 PARK LAKE TRCE
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3299
Country	:	US
Telephone Number	:	205-436-8262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2010
Last Update Date	:	11/11/2013

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