MEDICARE: WILLIAM R FUTRELL JR. PHARMD

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	06189	NC

General Provider Information

NPI Number	:	1578873212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM R FUTRELL JR. PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 768
Second Line	:
City	:	JACKSON
State	:	NC
Zip	:	27845-0768
Country	:	US
Telephone Number	:	252-534-6001
Fax Number	:	252-534-1906

Provider Business Practice Location Address
First Line	:	119 W JEFFERSON ST
Second Line	:
City	:	JACKSON
State	:	NC
Zip	:	27845-9599
Country	:	US
Telephone Number	:	252-534-6001
Fax Number	:	252-534-1906

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

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	05/02/2025

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