Provider Demographics
NPI:1568864106
Name:GUY, WILLIAM PRESTON III (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:PRESTON
Last Name:GUY
Suffix:III
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 1:149 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:CRAMERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28032-1401
Mailing Address - Country:US
Mailing Address - Phone:704-824-4401
Mailing Address - Fax:704-824-7882
Practice Address - Street 1:149 8TH AVE
Practice Address - Street 2:
Practice Address - City:CRAMERTON
Practice Address - State:NC
Practice Address - Zip Code:28032-1401
Practice Address - Country:US
Practice Address - Phone:704-824-4401
Practice Address - Fax:704-824-7882
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10479OtherPHARMACIST LICENSE NUMBER