Provider Demographics
NPI:1679824148
Name:XOCHIHUA, WILLIAM TOBIAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TOBIAS
Last Name:XOCHIHUA
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 1:212 MINNOW CT
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-6068
Mailing Address - Country:US
Mailing Address - Phone:843-357-6173
Mailing Address - Fax:
Practice Address - Street 1:1303 38TH AVE N
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-1315
Practice Address - Country:US
Practice Address - Phone:843-448-4437
Practice Address - Fax:843-946-9677
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist