Provider Demographics
NPI:1619288388
Name:HASTINGS, WILLIAM L (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:HASTINGS
Suffix:
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 1:2701 N NAVARRO ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3916
Mailing Address - Country:US
Mailing Address - Phone:361-578-1581
Mailing Address - Fax:361-578-9905
Practice Address - Street 1:2701 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3916
Practice Address - Country:US
Practice Address - Phone:361-578-1581
Practice Address - Fax:361-578-9905
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX21565OtherTEXAS STATE BOARD OF PHARMACY