MEDICARE: MR. WILLIAM BERNARD MCBRIDE RPH

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	048076	NY

General Provider Information

NPI Number	:	1346563269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM BERNARD MCBRIDE RPH

Provider Business Mailing Address
First Line	:	3931 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2823
Country	:	US
Telephone Number	:	516-783-7979
Fax Number	:	516-783-6261

Provider Business Practice Location Address
First Line	:	3931 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2823
Country	:	US
Telephone Number	:	516-783-7979
Fax Number	:	516-783-6261

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

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	03/05/2010

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