Provider Demographics
NPI:1477842128
Name:GREENWOOD, BETSY LEE (RPH)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:LEE
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2936
Mailing Address - Country:US
Mailing Address - Phone:828-286-9133
Mailing Address - Fax:828-287-9972
Practice Address - Street 1:121 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2936
Practice Address - Country:US
Practice Address - Phone:828-286-9133
Practice Address - Fax:828-287-9972
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18026183500000X
SC11323183500000X
AL7782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist