Provider Demographics
NPI:1437037207
Name:JONES, BETHANY M (CPHT)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:M
Last Name:JONES
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 1:170 BUCKAROO LN
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-9119
Mailing Address - Country:US
Mailing Address - Phone:814-355-2429
Mailing Address - Fax:814-355-2506
Practice Address - Street 1:170 BUCKAROO LN
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-9119
Practice Address - Country:US
Practice Address - Phone:814-355-2506
Practice Address - Fax:814-355-2506
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30316186183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician