MEDICARE: MR. WILLIAM C DAWSON 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	8711	KY

General Provider Information

NPI Number	:	1952424590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM C DAWSON RPH

Provider Business Mailing Address
First Line	:	1024 WALNUT GROVE CIR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8407
Country	:	US
Telephone Number	:	859-582-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 RICHMOND RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1599
Country	:	US
Telephone Number	:	859-269-4637
Fax Number	:

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/08/2007

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