Provider Demographics
NPI:1083691976
Name:HAMRY, WILLIAM R (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:R
Last Name:HAMRY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:R
Other - Last Name:HAMRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4223 NE 205TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-1645
Mailing Address - Country:US
Mailing Address - Phone:206-362-6743
Mailing Address - Fax:
Practice Address - Street 1:3040 NE 127TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4415
Practice Address - Country:US
Practice Address - Phone:206-362-7572
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH07661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist