MEDICARE: DR. WILLIAM BRYAN RUTHERFORD PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	22808	NC

General Provider Information

NPI Number	:	1023367372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM BRYAN RUTHERFORD PHARM. D.

Provider Business Mailing Address
First Line	:	1489 MOUNT JEFFERSON RD
Second Line	:
City	:	WEST JEFFERSON
State	:	NC
Zip	:	28694-8336
Country	:	US
Telephone Number	:	336-246-3119
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 MOUNT JEFFERSON RD
Second Line	:
City	:	WEST JEFFERSON
State	:	NC
Zip	:	28694-8336
Country	:	US
Telephone Number	:	336-246-3119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	11/07/2024

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