Provider Demographics
NPI:1982246997
Name:MCBRYAN, BETH (BS PHARMACY RPH)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:MCBRYAN
Suffix:
Gender:F
Credentials:BS PHARMACY RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 MOUNTWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3819
Mailing Address - Country:US
Mailing Address - Phone:856-616-9673
Mailing Address - Fax:
Practice Address - Street 1:233 MOUNTWELL AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-3819
Practice Address - Country:US
Practice Address - Phone:856-616-9673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01949900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist