Provider Demographics
NPI:1558675694
Name:PAUL, BETH ANN (RPH)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:PAUL
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 1:217 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1544
Mailing Address - Country:US
Mailing Address - Phone:724-543-1500
Mailing Address - Fax:724-545-7099
Practice Address - Street 1:217 MARKET ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1544
Practice Address - Country:US
Practice Address - Phone:724-543-1500
Practice Address - Fax:724-545-7099
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044227L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist