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General NPI Number Information
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NPI Number | 1992137541
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Entity Type | Organization
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Legal Business Name | BECO PHARMACY LLC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 918 E PARK ROW DR
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City | ARLINGTON
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State | TX
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Zip | 76010-4507
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Country | US
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Telephone | 817-419-2804
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Fax |
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Provider Business Mailing Address
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Address Line | 918 E PARK ROW DR
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City | ARLINGTON
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State | TX
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Zip | 76010-4507
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Country | US
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Telephone | 817-419-2804
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BARTH A AKUBUKWE
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Credential |
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Telephone | 817-419-2804
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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 | 28677
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License Number State | TX
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