Provider Demographics
NPI:1609117159
Name:MACHARIA, WILLIAM (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:MACHARIA
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 1:8302 STEWART CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-3903
Mailing Address - Country:US
Mailing Address - Phone:202-297-6038
Mailing Address - Fax:
Practice Address - Street 1:8302 STEWART CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-3903
Practice Address - Country:US
Practice Address - Phone:202-297-6038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist