Provider Demographics
NPI:1578996997
Name:LEAGUE, WILLIAM TALMADGE (PHARMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TALMADGE
Last Name:LEAGUE
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 1:943 HOOTOWL RD
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-8630
Mailing Address - Country:US
Mailing Address - Phone:828-380-3565
Mailing Address - Fax:
Practice Address - Street 1:12121 SOUTH HIGHWAY 226
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-0000
Practice Address - Country:US
Practice Address - Phone:828-765-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist