MEDICARE: MR. MARTIN BEHAR RPH

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	PS0022350	FL

General Provider Information

NPI Number	:	1275634735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARTIN BEHAR RPH

Provider Business Mailing Address
First Line	:	6843 BELMONT SHORE DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-5659
Country	:	US
Telephone Number	:	561-637-0347
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 HYPOLUXO RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7676
Country	:	US
Telephone Number	:	561-964-7866
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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