MEDICARE: WILLIAM CAYLOR DIXON JR. RPH

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	10084	AL
2	183500000X	Pharmacist	10084	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295050151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CAYLOR DIXON JR. RPH

Provider Business Mailing Address
First Line	:	15073 S US HIGHWAY 231
Second Line	:
City	:	MIDLAND CITY
State	:	AL
Zip	:	36350-6305
Country	:	US
Telephone Number	:	334-983-4191
Fax Number	:	334-983-5178

Provider Business Practice Location Address
First Line	:	15073 S US HIGHWAY 231
Second Line	:
City	:	MIDLAND CITY
State	:	AL
Zip	:	36350-6305
Country	:	US
Telephone Number	:	334-983-4191
Fax Number	:	334-983-5178

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

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	10/26/2021

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