Provider Demographics
NPI:1053312405
Name:UREY, BETTY L (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:L
Last Name:UREY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 W BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:HELLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-1205
Mailing Address - Country:US
Mailing Address - Phone:717-755-0969
Mailing Address - Fax:
Practice Address - Street 1:251 LOCUST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1110
Practice Address - Country:US
Practice Address - Phone:717-684-2551
Practice Address - Fax:717-684-6239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA030107192629127183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician