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Individual

BETHANY SAWYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
150 N 11TH ST, WYTHEVILLE, VA 24382-2029
(276) 245-5648
(276) 227-0203
Mailing address
150 N 11TH ST, WYTHEVILLE, VA 24382-2029
(276) 245-5648
(276) 227-0203

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211483
VA
183500000X
Pharmacist
RP0008034
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202211483
VIRGINIA BOARD OF PHARMACY
VA
01
RP0008034
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
06/07/2014
Last updated
06/07/2014
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