Provider Demographics
NPI:1417028812
Name:NABORS, WILLIAM H (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:NABORS
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 1:9572 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1120
Mailing Address - Country:US
Mailing Address - Phone:954-704-0754
Mailing Address - Fax:305-443-7870
Practice Address - Street 1:217 VALENCIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5905
Practice Address - Country:US
Practice Address - Phone:305-448-6116
Practice Address - Fax:305-443-7870
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0173390001Medicare ID - Type UnspecifiedPHARMACY MEDICARE NUMBER