Provider Demographics
NPI:1114235223
Name:HESTER, WILLIAM ELDON (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ELDON
Last Name:HESTER
Suffix:
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 1:101 W SWEET POTATO ST
Mailing Address - Street 2:
Mailing Address - City:VARDAMAN
Mailing Address - State:MS
Mailing Address - Zip Code:38878-9433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 W SWEET POTATO ST
Practice Address - Street 2:
Practice Address - City:VARDAMAN
Practice Address - State:MS
Practice Address - Zip Code:38878-9433
Practice Address - Country:US
Practice Address - Phone:662-682-7489
Practice Address - Fax:662-682-9132
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE06404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist