Provider Demographics
NPI:1659856094
Name:VOUK, WILLIAM FRANK III (PHARMD, BCGP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANK
Last Name:VOUK
Suffix:III
Gender:M
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 N 19TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-1127
Mailing Address - Country:US
Mailing Address - Phone:320-630-8119
Mailing Address - Fax:856-494-1570
Practice Address - Street 1:1017 N 19TH AVE E
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-1127
Practice Address - Country:US
Practice Address - Phone:320-630-8119
Practice Address - Fax:856-494-1570
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1217401835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric