Individual
BETHANY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1846 COAL HERITAGE RD, BLUEFIELD, WV 24701-7900
(304) 887-5128
Mailing address
731 RIVERVIEW DR, BARBOURSVILLE, WV 25504-1063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013762
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020810001500
GEHA
WV
Enumeration date
08/30/2019
Last updated
10/18/2023
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