MEDICARE: BETEX PHARMACY

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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	31200	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2168108	OTHER		PK

General Provider Information

NPI Number	:	1487191383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETEX PHARMACY

Provider Business Mailing Address
First Line	:	13948A WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5359
Country	:	US
Telephone Number	:	281-741-2914
Fax Number	:	281-741-2016

Provider Business Practice Location Address
First Line	:	13948A WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5359
Country	:	US
Telephone Number	:	281-741-2914
Fax Number	:	281-741-2016

Authorized Official
Title or Position	:	PHARMACIST IN-CHARGE
Name	:	ANTHONY OSUORJI
Credential	:	PHARM D
Telephone Number	:	281-741-2914

Provider Enumeration Date	:	01/30/2017
Last Update Date	:	07/19/2018

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Directions to “BETEX PHARMACY ” Practice Location

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