Provider Demographics
NPI:1275815789
Name:BELL, CASEY SANDERS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:SANDERS
Last Name:BELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 US HIGHWAY 84 E
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-1852
Mailing Address - Country:US
Mailing Address - Phone:229-377-5510
Mailing Address - Fax:229-377-5515
Practice Address - Street 1:501 US HIGHWAY 84 E
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-1852
Practice Address - Country:US
Practice Address - Phone:229-377-5510
Practice Address - Fax:229-377-5515
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024100183500000X
FLPS42860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist