Provider Demographics
NPI:1841581832
Name:PAUL, BETSY MARY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:MARY
Last Name:PAUL
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:2215 FULLER RD
Mailing Address - Street 2:(119) DEPARTMENT OF PHARMACY
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2303
Mailing Address - Country:US
Mailing Address - Phone:734-769-7100
Mailing Address - Fax:734-845-3214
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:734-845-3214
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX435801835P0018X
MI53020381351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist