Provider Demographics
NPI:1619530508
Name:MT. BETHEL PHARMACY INC
Entity Type:Organization
Organization Name:MT. BETHEL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-978-2388
Mailing Address - Street 1:2165 MOUNT BETHEL HIGHWAY
Mailing Address - Street 2:UNIT 5
Mailing Address - City:MOUNT BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:18343
Mailing Address - Country:US
Mailing Address - Phone:570-583-2027
Mailing Address - Fax:570-583-2026
Practice Address - Street 1:2165 MOUNT BETHEL HIGHWAY
Practice Address - Street 2:UNIT 5
Practice Address - City:MOUNT BETHEL
Practice Address - State:PA
Practice Address - Zip Code:18343
Practice Address - Country:US
Practice Address - Phone:570-583-2027
Practice Address - Fax:570-583-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy