MEDICARE: BETA PHARMACY INC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1790890481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETA PHARMACY INC

Provider Business Mailing Address
First Line	:	2638 NW 21ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-7113
Country	:	US
Telephone Number	:	305-637-9719
Fax Number	:	305-637-9720

Provider Business Practice Location Address
First Line	:	2638 NW 21ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-7113
Country	:	US
Telephone Number	:	305-637-9719
Fax Number	:	305-637-9720

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUBEN BARRETO
Credential	:
Telephone Number	:	305-637-9719

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/22/2020

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Directions to “BETA PHARMACY INC ” Practice Location

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