Provider Demographics
NPI:1043806961
Name:BEECHER, BETSY (RPH)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:BEECHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 COURT ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-4427
Mailing Address - Country:US
Mailing Address - Phone:802-388-6349
Mailing Address - Fax:802-388-6375
Practice Address - Street 1:260 COURT ST STE 6
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-4427
Practice Address - Country:US
Practice Address - Phone:802-388-6349
Practice Address - Fax:802-388-6375
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist