Bethany Gay Wallace

Pharmacist · Kenova, WV

Individual Active NPI

NPI number 1598368938

Practice location

1405 Oak St
Kenova, WV 25530-1215
Phone
(304) 453-3504

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NPI record

NPI
1598368938
Entity type
Individual (Type 1)
Enumeration date
November 18, 2020
Last updated
November 18, 2020
Certified
November 18, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RP0005701 WV

Mailing address

12 Bartlett St
Milton, WV 25541-8595
Phone
(812) 449-9470

About Bethany Wallace

Bethany Gay Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1405 Oak St, Kenova, WV 25530-1215. The NPI number 1598368938 was assigned on November 18, 2020 and the record was last updated on November 18, 2020.

Bethany Wallace lists a license in the registry: #RP0005701 (WV) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Gay Wallace?

The NPI number is 1598368938.

What is the phone number of Bethany Wallace?

The phone number listed for the practice location is (304) 453-3504.

Where is Bethany Wallace located?

1405 Oak St, Kenova, WV 25530-1215.

What is the taxonomy code for Bethany Wallace?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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