MEDICARE: PROF. WILLIAM ALBERT HESS B.SC. IN PHARMACY

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	29504	PA
2	183500000X	Pharmacist	9461	MD

General Provider Information

NPI Number	:	1104838770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. WILLIAM ALBERT HESS B.SC. IN PHARMACY

Provider Business Mailing Address
First Line	:	270 LARTRY DR
Second Line	:
City	:	RED LION
State	:	PA
Zip	:	17356-8920
Country	:	US
Telephone Number	:	240-997-6851
Fax Number	:	301-595-7933

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE
Second Line	:	WO32-ROOM 4152
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0002
Country	:	US
Telephone Number	:	301-796-8494
Fax Number	:	301-595-7933

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	02/12/2013

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