Provider Demographics
NPI:1639249428
Name:EDWARDS III, WILLIAM ORA (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ORA
Last Name:EDWARDS III
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 1:825 SE BISHOP BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5517
Mailing Address - Country:US
Mailing Address - Phone:509-878-2086
Mailing Address - Fax:
Practice Address - Street 1:825 SE BISHOP BLVD STE 301
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5517
Practice Address - Country:US
Practice Address - Phone:095-332-4608
Practice Address - Fax:509-332-3341
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5745183500000X
WAPH00051858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist