Provider Demographics
NPI:1730293804
Name:ADAIR, WILLIAM FORREST SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FORREST
Last Name:ADAIR
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:307 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-3047
Mailing Address - Country:US
Mailing Address - Phone:864-833-1980
Mailing Address - Fax:864-984-4454
Practice Address - Street 1:911 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2605
Practice Address - Country:US
Practice Address - Phone:864-984-2696
Practice Address - Fax:864-984-4454
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist