Provider Demographics
NPI:1467742916
Name:BELL, RAYMOND L (RPH)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:L
Last Name:BELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912 TOWNSHIP ROAD 37 W
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43324-9763
Mailing Address - Country:US
Mailing Address - Phone:937-686-5051
Mailing Address - Fax:
Practice Address - Street 1:2912 TOWNSHIP ROAD 37 W
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43324-9763
Practice Address - Country:US
Practice Address - Phone:937-686-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03216389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist