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General NPI Number Information
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NPI Number | 1952740276
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Entity Type | Organization
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Legal Business Name | BETA DISCOUNT PHARMACY & HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 776 SANDTOWN RD SW
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City | MARIETTA
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State | GA
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Zip | 30008
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Country | US
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Telephone | 678-909-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 776 SANDTOWN RD SW
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City | MARIETTA
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State | GA
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Zip | 30008-3046
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Country | US
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Telephone | 678-909-3455
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Fax | 888-892-1827
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | MR. GEORGE PETERSON
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Credential |
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Telephone | 561-544-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHHH000056
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License Number State | GA
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