Provider Demographics
NPI:1841845112
Name:BIGHAM, BETH BRITTANY
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:BRITTANY
Last Name:BIGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIALE CAMISANO 56
Mailing Address - Street 2:APT 17B
Mailing Address - City:VICENZA
Mailing Address - State:IT
Mailing Address - Zip Code:36100
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIT 33100
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:314-636-9790
Practice Address - Fax:044-471-1230
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist