Provider Demographics
NPI:1013012806
Name:ORE, WILLIAM J (R PH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:ORE
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 698
Mailing Address - Street 2:
Mailing Address - City:CLENDENIN
Mailing Address - State:WV
Mailing Address - Zip Code:25045-0698
Mailing Address - Country:US
Mailing Address - Phone:304-965-5451
Mailing Address - Fax:304-548-5765
Practice Address - Street 1:10 MAIN ST.
Practice Address - Street 2:
Practice Address - City:CLENDENIN
Practice Address - State:WV
Practice Address - Zip Code:25045
Practice Address - Country:US
Practice Address - Phone:304-965-5451
Practice Address - Fax:304-548-5765
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0002976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist