Provider Demographics
NPI:1588303168
Name:BETHEA, BRITTANY ELISE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ELISE
Last Name:BETHEA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3965 DOWLEN RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6848
Mailing Address - Country:US
Mailing Address - Phone:409-899-8697
Mailing Address - Fax:
Practice Address - Street 1:3965 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6848
Practice Address - Country:US
Practice Address - Phone:409-899-8697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist