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NPI Code Detail

MEDICARE: BETHANY A BOYLE PHARMD

MEDICARE:   BETHANY A BOYLE  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
1183500000XPharmacistPD14157AR

General Provider Information

NPI Number : 1922522390
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY A BOYLE PHARMD
Provider Business Mailing Address
First Line : 109 HICKORY HILLS DR
Second Line :
City : HELENA
State : AR
Zip : 72342-2301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 109 HICKORY HILLS DR
Second Line :
City : HELENA
State : AR
Zip : 72342-2301
Country : US
Telephone Number : 870-338-8351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 07/27/2017

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Directions to “ BETHANY A BOYLE PHARMD” Practice Location

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