MEDICARE: BEJAINE BAYOT 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	52593	TX

General Provider Information

NPI Number	:	1851638613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEJAINE BAYOT PHARMD

Provider Business Mailing Address
First Line	:	10101 S 1ST ST APT 125
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-6662
Country	:	US
Telephone Number	:	510-672-5573
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 S GENERAL BRUCE DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-5138
Country	:	US
Telephone Number	:	254-295-1057
Fax Number	:

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

Provider Enumeration Date	:	01/13/2013
Last Update Date	:	01/13/2013

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