Individual
LAWRENCE SCOTT BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
952 W LA GRANGE DR, PUEBLO WEST, CO 81007-3123
(719) 547-7557
Mailing address
952 W LA GRANGE DR, PUEBLO WEST, CO 81007-3123
(719) 547-7557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15343
CO
Other
Enumeration date
09/18/2008
Last updated
04/09/2013
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