# BETTIE BERNARD STOVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962491332
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 6112 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | 2451 | SC | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 09/04/2026