Provider Demographics
NPI:1669504205
Name:ROBEY, BETH A (RP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:A
Last Name:ROBEY
Suffix:
Gender:F
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2225
Mailing Address - Country:US
Mailing Address - Phone:402-933-3398
Mailing Address - Fax:
Practice Address - Street 1:4920 S 30TH ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1591
Practice Address - Country:US
Practice Address - Phone:402-502-5832
Practice Address - Fax:402-502-5841
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist