Provider Demographics
NPI:1821425455
Name:SAWYER, WILLIAM GUNN (REG PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:GUNN
Last Name:SAWYER
Suffix:
Gender:M
Credentials:REG PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:GRANITEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29829-3903
Mailing Address - Country:US
Mailing Address - Phone:803-595-5121
Mailing Address - Fax:
Practice Address - Street 1:2820 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:SC
Practice Address - Zip Code:29834
Practice Address - Country:US
Practice Address - Phone:803-593-3411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist