Healthcare Provider Details

I. General information

NPI: 1568463164
Provider Name (Legal Business Name): WILLIAM CASEY WATKINS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 GALLANT FOX DR
HELENA AL
35080-3920
US

IV. Provider business mailing address

1927 GALLANT FOX DR
HELENA AL
35080-3920
US

V. Phone/Fax

Practice location:
  • Phone: 205-685-1339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14844
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: