MEDICARE: DR. BRITTANY ELISE BETHEA PHARMD, 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	70221	TX

General Provider Information

NPI Number	:	1588303168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY ELISE BETHEA PHARMD, RPH

Provider Business Mailing Address
First Line	:	1295 PEARL ST
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-3642
Country	:	US
Telephone Number	:	409-839-2306
Fax Number	:	877-708-0926

Provider Business Practice Location Address
First Line	:	1295 PEARL ST
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-3642
Country	:	US
Telephone Number	:	409-839-2306
Fax Number	:	877-708-0926

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

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	03/18/2026

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