MEDICARE: WILLIAM ROGER LANIER 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH021758	GA

General Provider Information

NPI Number	:	1356688295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ROGER LANIER PHARM.D.

Provider Business Mailing Address
First Line	:	3871 PEACHTREE RD NE
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-3300
Country	:	US
Telephone Number	:	770-971-8661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3871 PEACHTREE RD NE
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-3300
Country	:	US
Telephone Number	:	404-240-2812
Fax Number	:

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

Provider Enumeration Date	:	01/11/2013
Last Update Date	:	05/27/2026

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