Provider Demographics
NPI:1922338581
Name:BELL, NATHANIEL STOUGHTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:STOUGHTON
Last Name:BELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-5770
Mailing Address - Country:US
Mailing Address - Phone:520-628-9428
Mailing Address - Fax:520-624-2309
Practice Address - Street 1:555 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-5770
Practice Address - Country:US
Practice Address - Phone:520-628-9428
Practice Address - Fax:520-624-2309
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist