Provider Demographics
NPI:1821390824
Name:OWENS, WILLIAM W (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:W
Last Name:OWENS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S POINDEXTER ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4834
Mailing Address - Country:US
Mailing Address - Phone:252-335-2901
Mailing Address - Fax:252-335-7425
Practice Address - Street 1:207 S POINDEXTER ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4834
Practice Address - Country:US
Practice Address - Phone:252-335-2901
Practice Address - Fax:252-335-7425
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist