Provider Demographics
NPI:1215227327
Name:BUSBY-COON, BETH ANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:BUSBY-COON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 NORRIS DR
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-4568
Mailing Address - Country:US
Mailing Address - Phone:423-733-2203
Mailing Address - Fax:423-733-4211
Practice Address - Street 1:235 NORRIS DR
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-4568
Practice Address - Country:US
Practice Address - Phone:423-733-2203
Practice Address - Fax:423-733-4211
Is Sole Proprietor?:No
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist