Healthcare Provider Details

I. General information

NPI: 1831807668
Provider Name (Legal Business Name): BETH PRATT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2022
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 MILITARY ST S
HAMILTON AL
35570-5006
US

IV. Provider business mailing address

1508 MILITARY ST S
HAMILTON AL
35570-5006
US

V. Phone/Fax

Practice location:
  • Phone: 205-921-7465
  • Fax: 205-921-1220
Mailing address:
  • Phone: 205-921-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17417
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: