Provider Demographics
NPI:1033572169
Name:POWELL, WILLIAM BRANNON JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRANNON
Last Name:POWELL
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-5412
Mailing Address - Country:US
Mailing Address - Phone:334-319-3355
Mailing Address - Fax:
Practice Address - Street 1:819 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-5412
Practice Address - Country:US
Practice Address - Phone:334-319-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist