Provider Demographics
NPI:1073867362
Name:DUNLAP, WILLIAM T I (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:T
Last Name:DUNLAP
Suffix:I
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 FAIRWAY CIR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6000
Mailing Address - Country:US
Mailing Address - Phone:803-984-1560
Mailing Address - Fax:
Practice Address - Street 1:1401 ALBRIGHT RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6576
Practice Address - Country:US
Practice Address - Phone:803-366-3784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist