Provider Demographics
NPI:1225472368
Name:MCDUFF, WILLIAM FLETCHER JR (DR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FLETCHER
Last Name:MCDUFF
Suffix:JR
Gender:M
Credentials:DR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-7129
Mailing Address - Country:US
Mailing Address - Phone:405-921-2247
Mailing Address - Fax:
Practice Address - Street 1:111 MAPLE LN
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-7129
Practice Address - Country:US
Practice Address - Phone:405-921-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist