Bethany Gay Wallace

NPI #1598368938 in Kenova, West Virginia

Provider Information

NPI Number: 1598368938
Entity Type: Individual
Name: Bethany Gay Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 1405 OAK ST
City: Kenova
State: West Virginia
ZIP Code: 25530-1215
Phone: (304) 453-3504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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