Provider Demographics
NPI:1851560494
Name:KIRCHAIN, WILLIAM RANDOLPH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RANDOLPH
Last Name:KIRCHAIN
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 1:1DREXEL DRIVE
Mailing Address - Street 2:XAVIER UNIVERSITY OF LOUISIANA
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1098
Mailing Address - Country:US
Mailing Address - Phone:504-520-5053
Mailing Address - Fax:
Practice Address - Street 1:1 DREXEL DRIVE
Practice Address - Street 2:XAVIER UNIVERSITY OF LOUISIANA
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1098
Practice Address - Country:US
Practice Address - Phone:504-520-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17613183500000X
FL19920183500000X
SC5972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist