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NPI Code Detail

MEDICARE: BECO PHARMACY LLC

MEDICARE: BECO PHARMACY LLC
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
13336C0003XCommunity/Retail Pharmacy28677TX

General Provider Information

NPI Number : 1992137541
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECO PHARMACY LLC
Provider Business Mailing Address
First Line : 918 E PARK ROW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-4507
Country : US
Telephone Number : 817-419-2804
Fax Number :
Provider Business Practice Location Address
First Line : 918 E PARK ROW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-4507
Country : US
Telephone Number : 817-419-2804
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. BARTH A AKUBUKWE
Credential :
Telephone Number : 817-419-2804
Provider Enumeration Date : 08/06/2013
Last Update Date : 03/23/2016

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Directions to “BECO PHARMACY LLC ” Practice Location

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