Individual
DR. JOHN AUDIS BETHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6260
Mailing address
501 ROSEWOOD PL, HURRICANE, WV 25526-1451
(304) 562-6637
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP0006742
WV
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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