Provider Demographics
NPI:1346563269
Name:MCBRIDE, WILLIAM BERNARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BERNARD
Last Name:MCBRIDE
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 1:3931 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2823
Mailing Address - Country:US
Mailing Address - Phone:516-783-7979
Mailing Address - Fax:516-783-6261
Practice Address - Street 1:3931 MERRICK RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2823
Practice Address - Country:US
Practice Address - Phone:516-783-7979
Practice Address - Fax:516-783-6261
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist