Provider Demographics
NPI:1972689008
Name:NOBLES, MARIBETH BEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIBETH
Middle Name:BEE
Last Name:NOBLES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:MARIBETH
Other - Middle Name:
Other - Last Name:BEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3400 FRIENDSHIP LEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-9720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3400 FRIENDSHIP LEDFORD RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-9720
Practice Address - Country:US
Practice Address - Phone:336-999-7453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005072183500000X
VA0202012422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist