Provider Demographics
NPI:1518063361
Name:PICKLER, WILLIAM LEE JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LEE
Last Name:PICKLER
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:4500 STUART ST
Mailing Address - Street 2:DEPT OF PHARMACY
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29207-5700
Mailing Address - Country:US
Mailing Address - Phone:803-751-0370
Mailing Address - Fax:803-751-5070
Practice Address - Street 1:4500 STUART ST
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC7965183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist