Individual
MRS. CRYSTAL W BETENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
513 N DUNCAN BYP, UNION, SC 29379-8682
(864) 427-6114
(864) 427-6444
Mailing address
1196 SARDIS RD, UNION, SC 29379-8722
(864) 427-6114
(864) 427-6444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4217053
NABP
SC
Enumeration date
04/16/2014
Last updated
04/16/2014
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