Provider Demographics
NPI:1710587514
Name:DOBSON, BETH (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:DOBSON
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32773
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-2773
Mailing Address - Country:US
Mailing Address - Phone:907-500-7930
Mailing Address - Fax:
Practice Address - Street 1:9101 MENDENHALL MALL RD
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7165
Practice Address - Country:US
Practice Address - Phone:907-789-0458
Practice Address - Fax:907-789-1356
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA1134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist