Provider Demographics
NPI:1164775599
Name:SMITH, WILLIAM G III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:SMITH
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 ARENDELL ST STE A
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2687
Mailing Address - Country:US
Mailing Address - Phone:252-247-2174
Mailing Address - Fax:252-247-3893
Practice Address - Street 1:4915 ARENDELL ST
Practice Address - Street 2:STE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2659
Practice Address - Country:US
Practice Address - Phone:252-247-2174
Practice Address - Fax:252-247-3893
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist