Provider Demographics
NPI:1780557025
Name:BESO PHARMACY INC
Entity type:Organization
Organization Name:BESO PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AWADALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-338-1604
Mailing Address - Street 1:5621 ATLANTIC AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7581
Mailing Address - Country:US
Mailing Address - Phone:919-338-1604
Mailing Address - Fax:855-777-4349
Practice Address - Street 1:5621 ATLANTIC AVE STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-7581
Practice Address - Country:US
Practice Address - Phone:919-338-1604
Practice Address - Fax:855-777-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy