Individual
BETHANN FEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MAIN ST, SUITE 2, WHITE HAVEN, PA 18661-1513
(570) 443-9519
Mailing address
229 PARK AVE, WILKES BARRE, PA 18702-4943
(570) 762-8331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP443782
PA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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