MEDICARE: WILLIAM ALLEN 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	183500000X	Pharmacist	6335	SC

General Provider Information

NPI Number	:	1487660643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ALLEN RPH

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-0130
Country	:	US
Telephone Number	:	843-838-2086
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 BALL PARK ROAD
Second Line	:
City	:	ST. HELENA ISLAND
State	:	SC
Zip	:	29920
Country	:	US
Telephone Number	:	843-838-2086
Fax Number	:

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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Directions to “ WILLIAM ALLEN RPH” Practice Location

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