Provider Demographics
NPI:1154531028
Name:KNAPP, BETH ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 LIEVING RD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:WV
Mailing Address - Zip Code:25287-8511
Mailing Address - Country:US
Mailing Address - Phone:304-882-3873
Mailing Address - Fax:
Practice Address - Street 1:706 W MAIN ST
Practice Address - Street 2:
Practice Address - City:POMEROY
Practice Address - State:OH
Practice Address - Zip Code:45769-1224
Practice Address - Country:US
Practice Address - Phone:740-992-6491
Practice Address - Fax:740-992-3811
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-24721183500000X
WVRP0006413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist