Beth Bush
Individual provider Active NPI Pharmacist · Arthur, ND
NPI 1073801239 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1073801239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5393 (ND)
- Practice address
- 325 Main St
Arthur, ND 58006 - Phone
- (701) 967-8900
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5393 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casselton Drug Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5393 | ND | Yes |
Addresses
Primary practice location
325 Main St
Arthur, ND 58006
Mailing address
PO Box 125
Arthur, ND 58006-0125
Other providers in Arthur, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.