Provider Demographics
NPI:1225585466
Name:HAMILTON, WILLIAM JOSEPH JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:HAMILTON
Suffix:JR
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 1:117 E 18TH ST
Mailing Address - Street 2:PMB 106
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3752
Mailing Address - Country:US
Mailing Address - Phone:270-316-0533
Mailing Address - Fax:
Practice Address - Street 1:117 E 18TH ST
Practice Address - Street 2:PMB 106
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3752
Practice Address - Country:US
Practice Address - Phone:270-316-0533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist