MEDICARE: BETH PRATT 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
1	183500000X	Pharmacist	17417	AL

General Provider Information

NPI Number	:	1831807668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH PRATT PHARMD

Provider Business Mailing Address
First Line	:	1508 MILITARY ST S
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-5006
Country	:	US
Telephone Number	:	205-921-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 MILITARY ST S
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-5006
Country	:	US
Telephone Number	:	205-921-7465
Fax Number	:	205-921-1220

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

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

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Directions to “ BETH PRATT PHARMD” Practice Location

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