Provider Demographics
NPI:1720380652
Name:HORTON, WILLIAM HENRY CLAY (MS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY CLAY
Last Name:HORTON
Suffix:
Gender:M
Credentials:MS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7805 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2601
Mailing Address - Country:US
Mailing Address - Phone:434-237-5839
Mailing Address - Fax:
Practice Address - Street 1:7805 TIMBERLAKE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2601
Practice Address - Country:US
Practice Address - Phone:434-237-5839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist