Provider Demographics
NPI:1164197646
Name:FIELD, BETH LEE (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LEE
Last Name:FIELD
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:L
Other - Last Name:NOMELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2215 FULLER RD OFC DB18
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2303
Mailing Address - Country:US
Mailing Address - Phone:734-222-4228
Mailing Address - Fax:723-845-3214
Practice Address - Street 1:2215 FULLER RD OFC DB18
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-222-4228
Practice Address - Fax:723-845-3214
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8971501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy