Provider Demographics
NPI:1235225038
Name:PIGEON, WILLIAM GARDNER III (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:GARDNER
Last Name:PIGEON
Suffix:III
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 1:73 BROOKWOOD RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3341
Mailing Address - Country:US
Mailing Address - Phone:925-253-9356
Mailing Address - Fax:
Practice Address - Street 1:73 BROOKWOOD RD UNIT 2
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3341
Practice Address - Country:US
Practice Address - Phone:925-253-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH25605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist