Provider Demographics
NPI:1932474020
Name:ELDER, BETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:
Last Name:ELDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NICKMAN PLZ
Mailing Address - Street 2:
Mailing Address - City:LEMONT FURNACE
Mailing Address - State:PA
Mailing Address - Zip Code:15456-9732
Mailing Address - Country:US
Mailing Address - Phone:724-437-1179
Mailing Address - Fax:
Practice Address - Street 1:3 NICKMAN PLZ
Practice Address - Street 2:
Practice Address - City:LEMONT FURNACE
Practice Address - State:PA
Practice Address - Zip Code:15456-9732
Practice Address - Country:US
Practice Address - Phone:724-437-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist