Healthcare Provider Details

I. General information

NPI: 1548246549
Provider Name (Legal Business Name): WILLIAM CARL PERRY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MALL DR
STEUBENVILLE OH
43952-3092
US

IV. Provider business mailing address

319 JOHNET DR APT. 7
SAINT CLAIRSVILLE OH
43950-1028
US

V. Phone/Fax

Practice location:
  • Phone: 740-266-7199
  • Fax:
Mailing address:
  • Phone: 740-695-5676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-25382
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: