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NPI Code Detail

MEDICARE: MS. BEVERLY LYNN BETTS PHARMD

MEDICARE: MS. BEVERLY LYNN BETTS 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
1183500000XPharmacist012278KY
2183500000XPharmacistPS0036248FL

General Provider Information

NPI Number : 1386929446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BEVERLY LYNN BETTS PHARMD
Provider Business Mailing Address
First Line : 1056 DELLA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2219
Country : US
Telephone Number : 859-277-8226
Fax Number :
Provider Business Practice Location Address
First Line : 2209 RICHMOND RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1306
Country : US
Telephone Number : 859-269-8832
Fax Number : 859-269-3186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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