MEDICARE: BETHANY DELK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202207165	VA

General Provider Information

NPI Number	:	1144438094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY DELK PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 800778
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0778
Country	:	US
Telephone Number	:	434-924-8344
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 LEE ST
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0001
Country	:	US
Telephone Number	:	434-924-2047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/04/2026

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