Provider Demographics
NPI:1639383581
Name:BEVINS, WILLIAM EUGENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EUGENE
Last Name:BEVINS
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 1:1214 SUSSEX DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-5876
Mailing Address - Country:US
Mailing Address - Phone:276-608-3432
Mailing Address - Fax:423-538-0358
Practice Address - Street 1:6681 BRISTOL HWY STE 300
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-5232
Practice Address - Country:US
Practice Address - Phone:423-538-2053
Practice Address - Fax:423-538-0358
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist