MEDICARE: DR. BEENISH TARIQ 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	PS39247	FL

General Provider Information

NPI Number	:	1841573904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEENISH TARIQ RPH

Provider Business Mailing Address
First Line	:	2187 S MILITARY TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-6453
Country	:	US
Telephone Number	:	561-641-6865
Fax Number	:	561-641-8648

Provider Business Practice Location Address
First Line	:	2187 S MILITARY TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-6453
Country	:	US
Telephone Number	:	561-641-6865
Fax Number	:	561-641-8648

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

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	09/26/2011

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