Provider Demographics
NPI:1831807668
Name:PRATT, BETH (PHARMD)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 MILITARY ST S
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-5006
Mailing Address - Country:US
Mailing Address - Phone:205-921-7465
Mailing Address - Fax:
Practice Address - Street 1:1508 MILITARY ST S
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-5006
Practice Address - Country:US
Practice Address - Phone:205-921-7465
Practice Address - Fax:205-921-1220
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist