Provider Demographics
NPI:1730513623
Name:GENT, BETHANY L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:L
Last Name:GENT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 OLD BRICK RD
Mailing Address - Street 2:APT# 1338
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5992
Mailing Address - Country:US
Mailing Address - Phone:724-766-1980
Mailing Address - Fax:
Practice Address - Street 1:2305 OAKLAWN BLVD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-5032
Practice Address - Country:US
Practice Address - Phone:804-458-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448085183500000X
VA0202213253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist