Provider Demographics
NPI:1811620180
Name:ROBASSE, BETHANY LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:LYNN
Last Name:ROBASSE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:BETHANY
Other - Middle Name:LYNN
Other - Last Name:ZEUG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2701 S MINNESOTA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4787
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2701 S MINNESOTA AVE STE 1
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-4787
Practice Address - Country:US
Practice Address - Phone:605-367-2806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist