| Bethany Gay Wallace, | |
|
1405 Oak St, Kenova, WV 25530-1215 | |
| (304) 453-3504 | |
| Not Available |
| Full Name | Bethany Gay Wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 1405 Oak St, Kenova, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598368938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RP0005701 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Gay Wallace, 12 Bartlett St, Milton, WV 25541-8595 Ph: (812) 449-9470 | Bethany Gay Wallace, 1405 Oak St, Kenova, WV 25530-1215 Ph: (304) 453-3504 |
Jonathan Nicholson, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1405 Chestnut St, Kenova, WV 25530 Phone: 304-453-2381 | |
Dr. Jayson P Keller, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1405 Oak St, Kenova, WV 25530 Phone: 304-453-3503 | |
Mrs. Laura Staub, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1405 Oak St, Kenova, WV 25530 Phone: 304-453-3504 | |
Dr. Aaron M Stone, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1405 Oak St, Kenova, WV 25530 Phone: 304-453-3504 Fax: 304-453-4681 | |
Max Ison, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1405 Chestnut St, Kenova, WV 25530 Phone: 304-453-2381 Fax: 304-453-1205 | |
Caroline Marie Putnam, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1706 Sycamore St, Kenova, WV 25530 Phone: 304-933-1327 |