Provider Demographics
NPI:1154612711
Name:BELUE, GARY NEAL (RPH)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:NEAL
Last Name:BELUE
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 STOKES DR
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2553
Mailing Address - Country:US
Mailing Address - Phone:304-466-5069
Mailing Address - Fax:304-466-6778
Practice Address - Street 1:513 STOKES DR
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-2553
Practice Address - Country:US
Practice Address - Phone:304-466-5069
Practice Address - Fax:304-466-6778
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist