Provider Demographics
NPI:1336272566
Name:RHEA, BETH HALE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:HALE
Last Name:RHEA
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 1:825 SECOND AVE EAST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101
Mailing Address - Country:US
Mailing Address - Phone:270-780-2650
Mailing Address - Fax:270-780-2651
Practice Address - Street 1:825 SECOND AVE EAST
Practice Address - Street 2:SUITE A1
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101
Practice Address - Country:US
Practice Address - Phone:270-780-2650
Practice Address - Fax:270-780-2651
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist