Provider Demographics
NPI:1073113585
Name:PRESTON, BETH ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:PRESTON
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 1:933 SIX PINE RANCH RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-9588
Mailing Address - Country:US
Mailing Address - Phone:812-528-4123
Mailing Address - Fax:
Practice Address - Street 1:790 GREENSBURG COMMONS CTR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-9469
Practice Address - Country:US
Practice Address - Phone:812-663-3338
Practice Address - Fax:812-663-3396
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020486183500000X
IN26018328A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist