Healthcare Provider Details

I. General information

NPI: 1659606952
Provider Name (Legal Business Name): BETHANY MAE BELL PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 E GUADALUPE RD
TEMPE AZ
85283-3277
US

IV. Provider business mailing address

161 W HACKBERRY DR
CHANDLER AZ
85248-4012
US

V. Phone/Fax

Practice location:
  • Phone: 480-838-0448
  • Fax:
Mailing address:
  • Phone: 602-770-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS016265
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: