Provider Demographics
NPI:1972663714
Name:BRIGGS, WILLIAM S (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:S
Last Name:BRIGGS
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:PO BOX 82057
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-0057
Mailing Address - Country:US
Mailing Address - Phone:425-486-7711
Mailing Address - Fax:425-486-9639
Practice Address - Street 1:6414 NE BOTHELL WAY
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-4819
Practice Address - Country:US
Practice Address - Phone:425-486-7711
Practice Address - Fax:425-486-9639
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist