Provider Demographics
NPI:1982728978
Name:BELL, MARY ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:BELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:210 MURPHREE ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-2113
Mailing Address - Country:US
Mailing Address - Phone:334-318-9226
Mailing Address - Fax:
Practice Address - Street 1:210 MURPHREE ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2113
Practice Address - Country:US
Practice Address - Phone:334-318-9226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14294OtherSTATE LICENSE