Provider Demographics
NPI:1407101710
Name:ALTMAN, WILLIAM CHRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:ALTMAN
Suffix:
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 1:1106 JOHN C CALHOUN DR
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-6656
Mailing Address - Country:US
Mailing Address - Phone:803-531-2079
Mailing Address - Fax:843-705-6642
Practice Address - Street 1:138 OKATIE CENTER BLVD S
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7546
Practice Address - Country:US
Practice Address - Phone:843-705-0999
Practice Address - Fax:843-705-6642
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH-027108183500000X
SC13766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist