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NPI Code Detail

MEDICARE: WILLIAM PHILLIPS PHARM.D.

MEDICARE: WILLIAM PHILLIPS 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
1183500000XPharmacist48013TX
2183500000XPharmacist15862AL

General Provider Information

NPI Number : 1720315013
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM PHILLIPS PHARM.D.
Provider Business Mailing Address
First Line : 8464 CHADBURN XING
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-7224
Country : US
Telephone Number : 334-354-7812
Fax Number :
Provider Business Practice Location Address
First Line : 6680 ATLANTA HWY
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-4240
Country : US
Telephone Number : 334-409-0611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2009
Last Update Date : 09/23/2011

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