Provider Demographics
NPI:1417275447
Name:BACKUS, WILLIAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:BACKUS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 EXETER RD
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1907
Mailing Address - Country:US
Mailing Address - Phone:603-659-7852
Mailing Address - Fax:
Practice Address - Street 1:73 EXETER RD
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-1907
Practice Address - Country:US
Practice Address - Phone:603-659-7852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH 3410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist